GM CASE 1
Case scenario
Hi,this is S.Supriya ,3rd BDS. This is an online eblog book discuss our patient health data after taking his consent .this also reflects my patient centered online learning portfolio
CASE HISTORY
Patient details :
A 74 years old male resident of Devarakonda with swelling of stomach
Chief complaint :
Abdominal distension ,
Shortness of breath
Decrease in urine out put
History of present illness:
Decrease in urine out put since 2 days
Pedal edema
Loss of appetite 4 days
No history of fever
No nausea
No vomiting
History of past illness :
No Diabetes
No asthma
No TB
No hypertension
Personal history :
Appetite: loss of appetite
Diet : vegetarian since 3years
Bowel and bladder movement : irregular
Micturation : irregular
Allergic: nill
Sleep adequate
Family history :
No significant compliance
General examination :
Pallor: slightly present
Cynasis :no
Clubbing: no
Lymphedenopathy : no
Edema: no
Vitals :
Temprature: 100c/f
Pulse :120bpm/min
Respiraton : 20 per minute
Blood pressure: 130/80 mm of hg
Sp02: 98%
Systemic examination :
Cardiac vascular examination :
Cardiac sounds : s1 ,s2 heard
Cardiac murmurs: no
Question from patients :
How long it takes to cure ?
Is there any kidney infection?
Is there any Gastric problem?