case 2

February 28 2023

GM CASE 2
Monday

Case scenario.....

 I am G sai kaushik yadav, 3rd year bds 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 HISTORY : A 29 year old female came with complaint of swelling of both  legs foot and vomitings and loose stools.


CHIEF COMPLAINTS :   hair loss since vomitings and swelling of legs  since 15 days, 

HISTORY OF PRESENT ILLNESS : 
Patient was apparently asymptomatic 1 week back, then he developed pain in both the upper and lower limbs and had shivers. The pain first developed in feet and progressed gradually after a day or 2. He's been taking treatment from 3 days. 

PAST ILLNESS :
No Hypertension, No Diabetes mellitus, no any other history.

PERSONAL HISTORY : 
Mixed diet.
Loss of apatite. Most of the time, he feels fullness of stomach.
Have proper sleep.
No bowel since 2 days.
Regular bladder movements.
Alcohol - occasionally 

FAMILY HISTORY : 
Diabetes : no
Hypertension : no

DRUG HISTORY 


GENERAL EXAMNLINATION : 
Built : well built
Nourishment : well nourished 
Consciousness: in Conscious
Pallor : pale pink 




Icterus : pale pink
Cyanosis : no cyanosis 
Clubbing : no clubbing 

Lymphadinopathy : no lymphadenopathy 
Edema : no edema 

VITALS : 
Temperature : 98.6°c/f
PR : 18CPM
RR : 18_cycles per minute
Blood pressure : 130/80 mm of Hg
SPO2 : 99% 


PROVISIONAL DIAGNOSIS : 
          -----------------NEUROPATHY-----------------


Q/A
1. Is this condition temporary or long lasting ?
2 Are there any other possible causes ?
3. Will I be able to recover after taking treatment ?

Popular posts from this blog

case 8

GM Case 8 Case scenario..... Hi, this is   sai kaushik  3 rd BDS student. This is an online e-blog book to discuss our patient's health data after taking his consent. This also reflects my patient centered online learning portfolio. CASE SHEET: A 22-year-old female came with chief complaint of fever since 4 days. CHIEF COMPLAINT: Fever since 4 days. Headache since 4 days. HISTORY OF PRESENT ILLNESS: Patient is apparently asymptomatic 4 days ago. When she noticed fever since 4 days. Patient has intermittent, sudden onset, low grade fever which is relieved on medication. The fever is not associated with chills and no increase in temperature at night. Headache since 4 days. The pain is radiating from left to right. The pain is continuous, not relieved on medication. There is no vomiting and shortness of breath.  HISTORY OF PAST ILLNESS: No asthma, diabetes , hypertension, tuberculosis, epilepsy, cad FAMILY HISTORY: No similar compliment. PERSONAL HISTORY: Diet - mixed Bowel and bladde
Read more

CASE 6

GM Case 6 Case scenario..... Hi, this is sai kaushik, 3 rd BDS student. This is an online e-blog book to discuss our patient's health data after taking his consent. This also reflects my patient centered online learning portfolio. CASE SHEET: A 32 year old male came with chief complaint of abdominal pain ,fever since 7 days and burning micturition since 3 days. CHIEF COMPLAINT: abdominal pain since 7 days  fever since 7 days  burning micturition since 3 days. HISTORY OF PRESENT ILLNESS: Patient is asymptomatic 7days ago. since 1 week he is suffering from abdominal pain. the pain is pricking type of pain, continuous, aggravated on inspiration. The pain is in left iliac and right iliac region.  fever since 7 days, on and off, high grade , intermittent, associated with chills. Dry cough since 1 day, on and off which is relieved on taking inspiration. Burning sensation during micturition since 3 days, no frequency no urgency. No vomiting, shortness of breath, palpitation, no nausea, no
Read more