Hi, I am soumya 3rd sem medical student.This is an online elog book to discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio. CASE SHEET: Chief complaints: 22 year female came to causality with facial puffiness, decreased urine output,low back ache since 5 months HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic 5 months back. She then developed facial puffiness followed by fever , chills, pedal edema , decreased urine output PAST HISTORY No past history Personal history: Diet: Mixed Bowel : regular Micturition: normal Appetite: Decreased Habits: nil No history of allergy, asthma, tuberculosis, coronary artery disease. Family history: Insignificant GENERAL EXAMINATION: pallor present No icterus No cyanosis No clubbing No lymphadenopathy No malnutrition No dehydration No pedal edema VITALS: Temperature: 98.5 F Pulse: 86 beats per minute Respiratory rate: 20 cycles per minute Blood pressure: 110/90
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Showing posts from November, 2022
70 year old
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A 70 YEAR OLD FEMALE CAME WITH ABDOMINAL PAIN ASSOCIATED WITH VOMITING. Hi, I am soumya 3rd sem medical student.This is an online elog book to discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio. CASE SHEET: Chief complaints: A 70 year old female, hailing from valigonda, came with complaints of: - pain abdomen for 4 days , 15 days back - skin lesion over chest since 15 days HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic 15 days back. She then developed pain abdomen on left side 6 hours after having food. Pain was relieved after taking medication. She then went for consultation where show was diagnosed with acute peptic disease and started on medication of clinidium bromide, chlordiazepoxide and dicyclomine, pantaprazol, used for 8 days, on usage of which symptoms relieved. She was then found to have decreased hemoglobin levels for which she was admitted for further management. Past history:
Kidney disease
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Hi, I'm Soumya Donthi (roll: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 29yr old female, resident of Mumbai, customer service executive by occupation came to OPD with chief complaints of Increased sweating 4days ago Shortness of breath 4days ago Dizziness 4days ago Vomitings 2episodes/day before the day of admission History of present illness; Patient was apparently asymptomatic 5yrs ago. Then she developed ulcers in mouth and painless rash on her face across her nose, hair loss and sensitivity to light on her face.Then she went to a private hospital where she was referred to another doctor where she was diagnosed with SLE. She was given medication for it. Then, 1 month ago, she developed Shortness of breath and went to hospital where she was diagnosed with kidney disease. She was pu