55 year old female patient with a chief complaint of bipedal edema and shortness of breath

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome .

55 year old female patient residing in miryalguda farmer by occupation presented to opd with the chief complaint of bipedal edema and shortness of breath since 10 days 

HISTORY OF PRESENT ILLNESS 
She was asymptomatic 1 year back then she got tested positive to corona virus and upon investigations she got reported about kidney problem and she is on conservative management for every 2months 
She has shortness of breath since 10 days which is agravating while walking and bending and relieving while sitting , sleeping 
She has bipedal edema since 10 days which is of non pitting type

PAST HISTORY 
bp since 7 years
Knee pain medication 6 years back
5 years back right hand finger fracture on investigations reported kidney problem

PERSONAL HISTORY
mixed diet before 1year back

FAMILY HISTORY
No significance 

GENERAL EXAMINATION

pallor is seen 
No clubing 
No cyanosis
No icterus 
 Vitals 
Temp 98.4
Bp 150/90
Pulse rate:-  86 b/min
Respiration rate 18 times
Systemic 
Cvs S1 s2 are heard
Cns speech is normal 
Respiratory
Bilateral crepts were heard ifrascapular regions 
Per abdomen 
No palpable mass 
No fluid present 

INVESTIGATIONS


Comments

Post a Comment

Popular posts from this blog

general medicine final practical

Image
This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient -centered online learning portfolio and your valuable inputs on the comment box" Ĺong case 35 year old male came to the opd  with chief complaints of upper abdomen pain since one week,fever since one week ,backpain since 4 days. Patient was apparently asymptomatic 20 days back ,then he observed yellowish discolouration of eyes and got admitted to near by hospital and diagnosed as jaundice after investigations and taken medications ,later 1week back he developed pain in the abdomen which was insidious in onset, gradually progressive. Pain in right hypochond
Read more

55 year old male with chief complaint of generalised weakness since 3 days and loss of appetite

Image
This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome  55 year old male patient resident of nalgonda ironing clothes by occupation presented to opd with the chief complaint of generalised weakness and loss of appetite HISTORY OF PRESENT ILLNESS Loss of appetite :- since 25 days  He complains of feeling of vomiting sensation on tasting any food  He tastes bitter on eating any food in whole day  Generalised weakness :- since 3days  Patient complains of backache while trying to get up from bed He complains of cough with sputum since 5day
Read more

50 year old female patient presented to opd with a chief complaint of shortness of breath and bipedal edema since 15 days

Image
This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome . 50 year old female patient labour by occupation resident of kodada presented to opd with a chief complaint of shortness of breath and bipedal edema since 15 days  HISTORY OF PRESENT ILLNESS She was asymptomatic 1 year back and later she developed bipedal edema which was recurrent even on medication prescribed by local doctor  Since 15 days she complains of bipedal edema  which is geting relieved while resting and agravating while walking    She  complains of shortness of breath w
Read more