GM case 7

Gm-Case 6
Case scenario

Hi, this is P. Vennela, IIIrd BDS. This is an online eblog book to discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio. 

                          CASE HISTORY
Chieft complaints:
63 yr old male from pedhevulapalli came to OPD 8 days ago with 
c/o-swelling of face and legs since 1 month
Fever since 2 months. 
History of present illness:
Patient was apparently asymptomatic 2yrs back. First he developed stiffness in his left wrist and then he developed stiffness in his left hand and left leg he has no sensation in his left limb.He immediately reached out to the hospital in miryalaguda and treatment was given accordingly.
After few days of this attack he developed black patches on his hands, abdomen and legs,and then progressed to all over body. Associated with itching and scaling during nights mostly.He has burning and pricking sensation,relieved by medication 
No h/o seasonal variation of itching.H/o of application of luvicinazole,miconazole,clobeterol, salicylic acid, liquid paraffin with no improvement .
He gives a history of fever  associated with chills during morning and rigors, relieved on medication.
History of past illness:
No h/o of similar complaints in the past .
He gives a history of joint pains of hand and feet not associated with morning sickness.
He had an trauma in his left knee 7yrs ago and he was not treated and condition gradually worsened.
He is k/c/o hypertension since 2 yrs
 No history of Diabetes ,leprosy,thyroid,asthma,CAD.
Treatment History
He is on medication for hypertension 
   since 2yrs.
   He is on clopidogril and calcium tablets
   since 2 yrs.
Personal History 
Appetite-Normal
Diet-Vegeteraian
Bowels and micturition-Normal
Addictions- consume toddy occasionally from past 2 yrs he has stopped it. No other addictions. 
 General examination 
patient was conscious and coherent and comfortable. 
Pallor - No
Icteris- No
Cynosis-No
Lymphedenopathy-No
Pedal edema-present. 
Systemic examination 
RESPIRATORY 
Inspection- flat chest with a slight depression in the centre. 
Palpation - bilateral air entry present, normal vesicular breath sounds heard, no adventitious sounds
ABDOMEN
soft non tender , umblicus is everted, no scars and sinuses.
Investigations


Popular posts from this blog

GM case 4

GM case 4 Case scenario   Hi, this is P. Vennela, IIIrd BDS. This is an online eblog book to discuss our patients health data after taking his consent.This also reflects my patient centered online learning portfolio.                           CASE HISTORY Patient details:   A 59 yrs old male resident of  parvathipuram came to hospital.  Chief complaint: Fever since 6 days Cold since 6 days Cough since 6 days History of present illness: Patient was apparently asymptomatic 1 week back. After which he developed fever which is insidious in onset and gradually progressive, low grade, intermittent, associated with chills and relieved by medication.  Fever is associated with cold and cough.  Cough was productive with whitish mucoid sputum,  no foul smell and no blood associated.  History of past illness: Patient has past illness of shortness of breath, chest pain and pain in abdomen.  No diabetes No TB No asthama No thyroid No epilepsy.  Personal history: Diet: Mixed Apettite: Normal Bowel: r
Read more

GM-Case-2

Image
GM case 2 Case scenario.....  Hi, this is P. Vennela, IIIrd BDS. This is an online eblog book to discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio.                         CASE HISTORY Patient details: A 13 years old female resident of kommattigudam came to hospital.  Cheif complaints:     Shortness of breath with exertion since 1 yr.      Easy fatigability since 1 yr.  History   of present    illness : Patient was apparently asymptomatic 1 year back.  Since 1 yr she started feeling difficulty in breathing on running for small distances and also while playing running games with her friends that is due to breathlessness and easy fatigue which is insidious onset and  gradually progressive and relieves at rest.  Then recently she attended a regular medical examination conducted in school, that advised her to visit hospital.  History of past illness: No fever, cough, cold, pain.  No diabetes mellitus, Asthma, TB, or a
Read more

GM Case-3

GM Case-3 Case scenerio.......  Hi, this is P. Vennela, IIIrd BDS. This is an online eblog book discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio.                        CASE HISTORY Patient details: A 60 yrs old female resident of Nalgonda came to hospital.  Chief complaints: Dry cough: since 2 days Shortness of breath: since 1 day Chest pain :since 1 day Fever since :since 1 day Decrease in urine output : since 1 day.  History of present illness: Patient was apparently asymptomatic 2 days back.  Then she started complaining of dry cough since 2 days associated with chest pain.  She also complained shortness of breath since 1 day which is insidious onset and gradually progressive in naturenature and It is Grade - 3 i.e shortness of breath on doing less than ordinary .  She also complained of decrease in urine out put i.e oliguria since 1 day.  History of past illness: No diabetes, BP, Asthama, Seizures, TB or any
Read more