117-gopi

A 30 year old female presented with fever and swelling of both the Limbs

           September06,2022 
                                                                                               Hi ,I am T Gopi(roll no 117) of 3rd sem medical student. this is an online elog book to discuss our patients health data after taking his consent.This also reflects my patient centered online learning portfolio.
     

          
 CASE SHEET.      
   CHIEF COMPLIANTS:

A 30 year old female patient who was a farmer by occupation and resident of Miryalaguda came to OP
 Fever : 7 days
 Lower right abdominal pain : 7 days
 Lower back pain : 7 days
 Dry cough and sore throat : 2 days

HISTORY OF PRESENT ILLNESS:

Patient was apparently asymptomatic 6 months back. She developed joint pain following fever, for which she was treated in private hospital at Miryalaguda and now she came with compliants of fever which aggravated at evenings and also intermittent associated with chills and rigor. She complained of dizziness, headache, edema of both the limbs and pricking pain in the right lower abdomen.
She also has burning micturition since 7 days and dry cough.

HISTORY OF PAST ILLNESS:

No diabetes mellitus
No hypertension
No TB
No CAD
No leprosy
No bronchial asthma
No epilepsy
She underwent a C section surgery

FAMILY HISTORY:

No significant family history

ALLERGIES:

No allergies

DRUG HISTORY:

No drug history

PERSONAL HISTORY:

Appetite : Normal
Diet : Mixed diet
Bowel movement : Normal
Sleep : Inadequate
Addictions : None

PHYSICAL EXAMINATION:
A. General Examination

Conscious, coherent and coperative
Well built
No pallor 
No icterus
No cyanosis
No clubbing of fingers
No lymphadenopathy
Pedal edema present

Vitals:
Temperature : 97.2°F
Pulse rate : 88 bpm
Respiratory rate : 22 per minute 
Blood pressure : 90/60 mm of Hg
sPO2 : 96% 


INVESTIGATIONS:














Comments

Post a Comment

Popular posts from this blog

82 YR OLD FEMALE WITH BILATERAL LOWER LIMB WEAKNESS AND PEDAL OEDEMA

Image
82 year old female with B/l lower limb weakness and pedal edema. on June 21, 2023 This is an online elog documenting de-identified patient health data after taking his signed consent to enforce a greater patient centered learning.  DEIDENTIFICATION -  The privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the piece of work whatsoever. CASE DISCUSSION - 82 year old female patient came with C/O weakness of lower limb, Neck and shoulder pain since along with pedal oedema and fever since 10 days. HOPI - Patient was apparently asymptomatic 10 days back then she developed weakness of the lower limbs, sudden in onset, non-progressive.  Also, C/O fever since 10 days low-grade not associated with chills and rigours, continuous, relieved on medication. C/O pedal oedema since 10 days, pitting type, from ankle to knee. No C/o chest pain, palpitations, cough, cold, LOC PAST HISTORY- K/c/o of HTN since 10 years(On medication- Telma 40mg) Not a k/c/o DM,
Read more

GM CASE WITH FEVER AND CHILLS

Image
 A 65 yr old male with fever and chills June 08,2023 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here
Read more