GM CASE 5
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 30 year old male came with chief complaint of abdominal pain and burning micturition since 3 days. Chest pain since 1 year.
CHIEF COMPLAINT:
pain in abdomen since 3 days.
burning micturition since 3 days.
Chest pain since 1 year.
HISTORY OF PRESENT ILLNESS:
Patient is asymptomatic 3 days ago.
since 3 days pain in the epigastric region.
Pain is progressive, aggravated after food intake which is relieved after 2 to 3 hours.
Abdominal pain is twitching type of pain.
Burning sensation during micturition since 3 days.
There is no increase or decrease in urine output.
Chest pain is radiating from right to left till left hand.
No vomiting, no fever, no loose stools, no cough , no cold.
HISTORY OF PAST ILLNESS:
He has no diabetes, no hypertension, CAD, tuberculosis, asthma.
FAMILY HISTORY: No similar complaint
PERSONAL HISTORY:
Occupation: farmer
Diet: mixed
Appetite: normal
Sleep : regular
Bowl and bladder: regular
Addiction: no
Allergy: no
GENERAL EXAMINATION
Pallor: no
Cyanosis: no
Icterus: no
Clubbing: no
Lymphadenopathy: no
Oedema: no