Posts

A case of pleural effusion

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GM-5 Hi ,i am K.Shreya3rd year  BDS student . This is an online elog book to discuss our patient data after taking her concent this also reflects my patient centred online learning portfolio .   Case sheet: A 70yr old male patient came to the hospital  due to  continuous chest pain and Shortness of breathe. Chief complaint:patient complaints of left side chest pain , fever Since 15days and cough with sputum , shortness of breathe since  1 week. History of present illness:patient was apparently asymptomatic 15 days back , then he developed chest pain in the left side , its is not radiating and not associated with swelling since 15 days  Fever , intermittent and low grade , not associated with chills   since 15 days and relieved on medication. Cough associated with sputum ,mucoid and white in colour , no blood stains , not foul smelling ,no aggrevating and relieving factors and no seasonal and diurnal varitions. Shortness of breathe is also present which is grade -2 since 7 days,aggrevat

A case of Chronic renal failure

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GM-4  Hi ,i am K.Shreya3rd year  BDS student . This is an online elog book to discuss our patient data after taking her concent this also reflects my patient centred online learning portfolio . Case sheet:A 40year old male admitted in hospital with persistent cough  Chief complaint : patient complains of cough with sputum (mucoid type , yellowish ,without blood stains)since 20 days and decreased appatite since 10 days . History of present illness:patient was apparently asymptomatic 20days back then he developed cough with sputum (productive cough)which is continuous and gradually progressive  He went to local hospital and routine tests was done and found problem related to kidneys and he is on medication and dialysis still now .He is on dialysis which is on alternate days  He experienced edema after using the medication but later it is subsided . Aggrevating factors-Lying down in supine position and during nights  Relieving factors-Medication History of past illness: Hypertension since

A Case of Subacute intestinal Obstruction

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General medicine -4 Hi ,i am K.Shreya3rd year  BDS student . This is an online elog book to discuss our patient data after taking her concent this also reflects my patient centred online learning portfolio . Case sheet:A 48year old male admitted in hospital due to abdominal  pain and constipation  Chief complaint :patient complains of abdominal pain at umbilical region , constipation and abdominl distention since 1 month  History of present illness:patient was apparently asymptomatic 1month back , suddenly he had abdominal pain at umbilical region with abdominal distension accompanied with gastric problems and constipation  Type of Pain -dull aching type  Pain is  Radiating to back  Aggrevating factors are consumption of food  Relieving factors - medication History of past illness: From past 2years patient suffering with irregular bowel movement and constipation which is rarely associated with abdominal pain. Appearance of blood in stools 6months back  Not a known case of asthma /Diabe

A case of Suspected Osteoarthritis

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General medicine-3 Hi ,i am K.Shreya3rd year  BDS student . This is an online elog book to discuss our patient data after taking her concent this also reflects my patient centred online learning portfolio  Case sheet:A 60year old male admitted in hospital due to continuous Lower back ache , lowe limb pain (bilateral),bilateral knee pain since 4months    History of present illness:patient was apparently asymptomatic 4 months back then he developed pain of both lower limbs  which is insidious and progressed gradually Patient visited local government hospital and took the medicines before 2months  Pain was subsided only when he is on medication  Type of pain: dull aching , pricking type  Radiating from both hips to ankles Relieving factors - medication Aggrevating factors -work  History of past illness : Patient is not a known case of hypertension , diabetes mellitus,TB, epilepsy  Family history:not significant Personal history:Patient is conscious and moderate in built  Occupation :Labou

A Case of Chronic Kidney Disease

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General medicine -2  Hi ,i am K.Shreya3rd year  BDS student . This is an online elog book to discuss our patient data after taking her concent this also reflects my patient centred online learning portfolio . Case sheet:A 41 year old female  who was on dialysis admitted in hospital  due to continuous fever and vomitings. Chief complaint : continuous fever   and vomitings  Bilateral Pedal edema -10days  Facial puffines -10days  Easy fatiguability-10days  History of present illness:patient was apparently asymptomatic 4yrs back  then she developed bilateral pedal edema ,facial puffiness and decreased appatite and went to local hospital where on routine investigations  Renal function tests are found derranged and underwent on 2 sessions of dialysis. History of past illness:  A known case of hypertension  On medication T.METXL -25mg from 1 year  Had Surgery of AV fistula 40 days back  Personal History : Occupation:homemaker Diet.          :vegetarian Appetite    :normal  Sleep.        :norm

Case of Heart failure with reduced ejection fraction

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General Medicine -1 Hi ,I am K.Shreya 3rd year BDS student . This is an online elog book to discuss our patient data after taking her concent this also reflects my patient centred online learning portfolio . Case sheet:A 42year old male admitted in hospital due to continuous chest pain Chief complaint : chest pain central and radiating to shoulder and shortnes of breathe  History of present illness:patient was apparently normal 11 days ago, then he suddenly developed chest pain radiating to two  associated with sweating and palpitations. Type of pain:dragging type  Radiating to shoulders   relievingfactors -medication History of past illness: patient suffered from liver problem and was on medication  1 month ago later he got chest pain and admitted in hospital and diagnosed as inferior wall MI and posterior wall MI and stopped the previous medication. No other associated diseases Personal history: Occupation : lorry driver  Appetite :normal Mixed diet  Normal sleep   Micturion -normal