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General medicine 9

GM case Case scenario..  Hi,I am K.Sahalypa,3rd BDS student.This is an online elog book to discuss our patients health data after taking his consent.This also reflects my patient centered online learning. Chief complaints  Patient complains of fever since 4 Days History of present illness  Patient was apparently asymptomatic 4 days ago,then he developed fever of high grade associated with chills and rigors not associated with cough,cold,sore throat,Shortness of Breath,palpitations and Abdominal pain. He had Vomitings 3 episodes 3 days back,Non billious,Non projectile,contain food particles as content. No History of Hematuria,Hematemisis. No History of blood in stools,no other bleeding manifestations. History of past illness Hypertension-No Diabetes mellitus-No CVA-No CAD-No Asthma-No Tuberculosis-No Epilepsy-No. Personal History  Diet-Mixed  Appetite-Normal  Bowel&Bladder-Regular  Allergies-No known allergies  Addictions-No addictions Family History  No similar complaints seen in t

General medicine 8

GM- CASE CASE scenario.... Hi, I am k.sahalya, 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 45 year old known case of joint pains  CHIEF COMPLAINTS : joint pains (wrist,ankle,neck back) from 4 years HISTORY OF PRESENT ILLNESS :  Patient was apparently asymptomatic  4 years ago,then joint pain started ,it is at wrist,ankle,neck back, tingling like sensation, at ankle it is non radiating, at wrist it is non radiating and at neck back it is radiating bilaterally to shoulder, their is no progression in pain , aggravates on doing work and during morning ,releaved on medication  PAST ILLNESS : Known case hypertension from 20 years on medication  Not a know case of diabetes, Known case of renal failure PERSONAL HISTORY :  Mixed diet, appetite is normal, have proper sleep, regular bowel, drinks toddy ,stopped 4 years back. FAMILY HISTORY :  No re

General medicine 7

GM Case  Case scenario..... Hi, this is K. Sahalya, 3 rd BDS student. This is an online eblog book to discuss our patient's health data after taking his consent. This also reflects my patient centered online learning portfolio. CASE SHEET: A 24 year male came with chief complaint of chest pain since one month. CHIEF COMPLAINT: chest pain since one month. HISTORY OF PRESENT ILLNESS: Patient was asymptomatic one month ago. Since one month he is suffering from chest pain. It was radiating pain from left right. The pain was on and off . The pain was sudden it lasted for 3 to 4 hours. One week ago, he had fever which is on and off. Fever is is not associated with chills. He was feeling weak. He was feeling breathlessness since one week. It is grade1 from MMRC classification. He had no cough or cold. HISTORY OF PAST ILLNESS: He has no history of diabetes, hypertension, asthma, tuberculosis, thyroid disorders. FAMILY HISTORY: No significant complaint. PERSONAL HISTORY: Occupation: agricul

General medicine 5

Case Scenario..... Hi,I am k.Sahalya,3rd BDS student.This is an online eblog book to discuss our patients health data after taking his consent.this also reflux my patient centered online learning portfolio                   Case History    A45 year old female came to GM OPD with C/o -Neck Pain since 10 days -And low grade fever since 10 days.  HOPI: Patient was apparently asymptomatic 2 months back then she developed neck pain insidious in onset gradually progressive and aggravated since past 10 days.  Restriction of movements+. Neck Pain aggravates on flexion and extension of neck. No h/o trauma.  Low grade fever not associated with chills and rigors since 10 days,Intermittent in nature. No h/o sob,cough,sore throat,Abdominal pain,vomitings,loose stools, Tingling of b/l upper limbs+. Past History : K/c/o htn since 4 years and on medication T. losertan 50 mg+Hydrochlorothiazide 12.5 mg po/od  N/k/c/o DM, thyroid,CVA,epilepsy, Asthma,CAD Personal History : Appetite -Normal Diet -Mixed S