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Showing posts from July, 2022

21 year female patient

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  A 21 year old female patient with fever, vomiting and generalised body pains Hi, we are 3 semester students.This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s consent. This also reflects our patient centered online learning portfolio. The patient’s consent was taken verbally prior to history taking and examination of her condition. CHIEF COMPLAINT: A 21 year old female patient who is a student came to the casualty on 22nd of July with complaints of high fever, vomitings and generalised body pains. HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic 8 days ago. Then she developed high fever on morning of 21st July associated with chills and generalised body aches.Later that evening she started vomiting (non-bilious) with food as content which was associated with abdominal pain.She had 6 episodes of vomiting that evening.Then  she presented to the casualty on 22nd of July where she was examined and admit

GM-1

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 July 7 , 2022 I'm Soumya donthi (rollno: 31) 3rd sem medical student. This is an online e-log book to discuss our patient's health data shared after taking his/her consent . This also reflects my patient centered care and online learning portfolio. CASE SHEET: Chief Complaint: A 70 year old patient who is farmer by occupation came to opd with a chief complaint of pedal edema since 10 days History of present illness: Patient was apparently asymptomatic 10 days then he developed pitting type of pedal edema upto ankle. History of past illness; Patient is a known case for Hypertension since 2 months No diabetes No TB No CAD No Epilepsy No Asthma Past history: No past history Personal history; Diet: mixed Appetite: normal Bladder/ Bowel movements: regular Sleep: adequate Addictions: alcoholic occasionally  Allergic history; No known allergies Drug history; No drug history Family history; No relevant family history  PHYSICAL EXAMINATION; General Examination: Patient is conscious, co