B.Divya
Roll no:23
5th sem
Patient name:B.Somaiah
Age:43yrs
          This is the general medicine Online elog to discuss the health data by taking his consent.This will help to have patient centered care and learning
the clinical cases effectively with collective current best evidence based 
Inputs.
       This is the ongoing inpatient case.The investigations are yet to be done and the samples were sent to laboratory for investigations.

A 45 yr old male who is a driver by 
occupation ,resident of thummalaguda came to the OPD with itching sensation and shortness of breath.
Cheif complaints
Shortness of breath
Cough with expectoration
Itching sensation all over the body 
Increased urine output (15 times/day)
Increased frequency of passing stools.
History of present illness
Shortness of breath since 30 days
Itching all over the body  since 30 days
Cough with  expectoration since 1 week
Increased urination since 1 week
Increased frequency of passing stools since 1 week
History of past illness
No h/o DM,HTN,
No h/o previous hospitalization
No h/o any surgeries.
No h/o previous medication.
Family History
No relevant family history
Personal history
 Married
Chronic Alcoholic (since 20 yrs )
History of consuming kaini since 20 yrs
Diet :mixed
Loss of appetite
Abnormal sleeping patterns
Bowel sounds
General Examination
No pallor
No cyanosis
No icterus
No lymphadenopathy
No clubbing
Vitals
Bp:100/70
Pulse rate :80/min
Respiratory rate:20/min
Temp: afebrile
Cvs
S1, S2 Heard
No murmurs
No thrills
Respiratory system
Wheezes heard
Trachea central 
Abdomen
No palpable mass 
No tenderness
Palpable liver 
Palpable spleen
No briuts
CNS
Conscious
Coherent
Speech normal
Sensory system
Pain -+
Temp-+
Pressure-+
Position sense-+
Vibration-+
Motor system
Reflexes-normal
Gait-normal
Power-+5
Tone- normal




Comments

Post a Comment

Popular posts from this blog

camp case 4/5/2024.

Image
Camp case 80 yr old male  CHEIF COMPLAINTS: Came with c/o giddiness since 15 days. HOPI: Pt was apparently asymptomatic 15 days back and then had giddiness which was  episodic daily once ,mrng before lunch a/w blurring of vision during that episode and relieves after taking food. H/o tingling and numbness of lower limbs since 10 yrs extending from tip of toes to shin of tibia  H/o burning sensation of feet since 5 yrs  H/o chest pain since 4 days , pricking type ,on and off ,no precipitating factors H/o loose stools for one day which was one week ago and subsided on medication. No h/o polyuria polydypsia  No h/o decreased urine,output burning micturition  No h/o fever,pedal edema ,facial puffiness  No h/o constipation, No h/o similar complaints at night times No h/o sob , palpitations  PAST HISTORY  K/c/o Htn on tab telma am -40/5 K/c/o dm on INJ MIXTARD 20UBBF ,15U BD  K/C/O CKD SINCE 13 yrs  K/C/O HFPEF 2° to CAD since 1 month  H/O stable angina 1 month ago  No other comorbidities  P
Read more

23,Divya.B

 General Medicine blended assessment. Name:B.Divya Roll no: 23 Batch:2019(3rd semester). Question 1) Pulmonology : Review:- https://yrahul190.blogspot.com/?m=1 Case1:  https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html        The case was diagnosed as COPD associated with right heart failure and bronchiectasis.The patient is presented with shortness of breath, generalized weakness, pulmonary odema.In this case due to obstructive lung disorder,the workload on right heart leading to right heart failure. All the examination was done thoroughly and with proper investigations. This is very good presentation with all the images required for proper diagnosis and the treatment of all symptoms was also given properly. Neurology Review:-https://157siddhanth.blogspot.com/ Case2:https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html       The case was diagnosed as wernickes encephalopathy secondary to chronic alcohol dependence along w
Read more