General medicine eblog

  October 17, 2023   Hi I am, Madhuri palsa  5 th 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. A 60year old male agricultural worker by occupation resident of gudivada (Nalgonda)came to hospital with complaints of swelling on upper and lower limbs ,face since 1 week Chief complaints Patient complaints of swelling in limbs and face since 1 week History of presenting illness Patient was apparently asymptomatic 1 week back  He then developed swelling of body -upper limbs,lower limbs and face Pitting type, insidious onset and gradually progressive Complaint of chest pain,palpitation and decreased urine output SOB Ulcer over sacral region History of past illness Not a known case of  Diabetes  Hypertension Epilepsy Asthma Tuberculosis No history of trauma in the past Personal history Sleep:adequate  Diet: mixed Bowel and bladder moveme

 Hi I am Madhuri palsa ,6th sem medical student .this is an online e blog to discuss our patients deidentified health data shared after taking his /her /guardian signed informed consent  51M farmer by occupation , resident of nalgonda ,came to opd with c/o shortness of breath since 2 months HOPI  Patient was apparently asymptomatic 2 months ago then he developed SOB of insidious onset, gradually progressive increasing in intensity since 2 months (Glade II- III) No h/o constipation , nausea , vomiting ,burning micturation  PAST HISTORY : N/k/c/o DM , HTN , CAD,TB, epilepsy , thyroid disorders  FAMILY HISTORY :  not significant  PERSONAL HISTORY :  Decreased apetite  Mixed diet  Decreased bowel movements  Normal micturation  No known allergies  Alcoholic since 3 yrs  GENERAL EXAMINATION : I have examined the patient after taking prior consent and informing the patient in the presence of a attendant. The examination was done in both supine and sitting position in a well lit room.  - patie