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General medicine 6

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Hi, I am k. Sahalya,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 portfolio.                  CASE HISTORY Patient details  A 60 years old male,Daily wage labour,resident of kamagul , presented with Chief complaint  *Chest pain since 1 month *Difficulty in breathing since 1 month *Cough since 1 month *Neck pain since 1 month *Fever since 1 month History of present illness  *Patient was apparently asymptomatic 1 month back,than he developed chest pain, left sided radiating to upper limb and back of chest,no relation to food intake. *Shortness of breath since one month,which was insidious in onset,and gradually progressed from grade 2 to grade 3,no History of orthopnea and PND.SOB aggrevating on talking and eating, relieving on rest. *Cough-non projectile,productive white,frothy phlegm.no history of seasonal variati...

General medicine 4

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GM CASE  CASE scenario.... Hi,I am K.Sahalya,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                          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 (on and off)since 2 months History of present illness: Patient was apparently asymptomatic 2yrs back.Then he had an attack of left hemiparesis.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. From then he is on clopidogril and calcium tablets. After this attack he complains of decrease of power in his left upper and lower limbs. After few days of this atta...

General medicine 3

Case scenario.. Im k.Sahalya,3rd year bds student. This is an online elog book to discuss our patients health data after taking his consent. This also reflects my patients centered online learning portfolio. Case history  A 57 years old man, who is a farmer by occupation. Chief complaint:  Patient was presented with altered sensorium since yesterday. Patient was apparently alright 3days back then he stopped using injection MIXTARD since 3days. Patient had history of irrelevant talk since yesterday but able to recognise people.  History of present illness:  Patient has low grade fever since yesterday ,intermittent in nature, relieved on medication.  Not associated with cold ,cough,vomiting, loose stools etc. No SOB, chest pain, palpitations,  edema or decreased urine output. History of past illness:  Patient came with similar complaints in February of 2022, then he was diagnosed with diabetic nephropathy. Patient had history of fever with chills for 4da...

General medicine 2

 2023 Case scenerio....  Hi, Iam 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 50 years old male patient, resident of Mothkur,Telengana came to General medicine OPD on 2023.  CHIEF COMPLIANT: Patient complaince about No movement of both  left upper and lower limbs since 3 days  HISTORY OF PRESENT ILLNESS: Patient was apparantly asymptomatic 3 days back and then he noticed no movement in his left upper and lower limb and  associated with chest pain, shortness of breathing, difficulty in speaking. Immediately he was brought to hospital on 3days back accompanied by his wife and he was given iv injection which was not known to patient and there was relief in chest pain.  Past history : Patient gives a history of chest pain 15 yrs back for which he was diagnosed as tachycardia(hype...

General medicine 1

Feb14  2023 Case scenerio....  Hi, Iam 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 SHEET:  a  68 years old man with leg pain.  CHIEF COMPLAINTS: patient complaince of pain in his right knee and ankle since 2days and also associated with swelling  of foot since 1day HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 2days  back.Then he developed leg pain over right knee and ankle region due to hit by a rod.  Pain is continuos and throbbingg type of pain and pain is radiating towards ankle.  Pain is aggrevative during walking and no relieving factors. He also complains about over swelling at right ankel since1day. Swelling is soft and non tender and he is associated with small ulcer. Patients also complains about fever low grade fever.  PAST HISTORY: No relevant past...