Gm case-6

 Case scenario.....

Hi, this is B. Meghana, 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 56 year old female came with chief complaint of pain in abdomen since 10 days.

CHIEF COMPLAINT:

pain in abdomen since 10 days.

HISTORY OF PRESENT ILLNESS:

Patient is asymptomatic 10 days ago.

She had fever for 3 days.

It is a low grade fever, intermittent and associated with chills.

No vomiting, no loose stools, no cough , no cold.

weakness since yesterday.

On 3 rd day of fever, there was shortness of breathe.

Which was insidious, on set and decreased by lying down.

Tenderness in abdomen was felt in epigastric and right hypochondrium region.

Nausea is present.

HISTORY OF PAST ILLNESS:

She has no diabetes, no hypertension, CAD, tuberculosis, asthma.

FAMILY HISTORY: No similar complaint

PERSONAL HISTORY:

Occupation: housewife

Diet: mixed

Appetite: normal

Sleep : normal

Bowl and bladder: normal

Addiction: no

Allergy: no

GENERAL EXAMINATION

Pallor: yes

Cyanosis: no

Icterus: no

Clubbing: no

Lymphadenopathy: no

Oedema: no


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