Posts

General medicine case-8

Image
CASE scenario.... Hi, I am D.Rajashri, 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 variation  *Neckpain since one month ,a slight
Read more

General medicine Case -7

Image
CASE scenario.... Hi, I am D.Rajashri, 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 54 years old male,resident of chityala, daily labour by occupation presented with Chief complaint * Abdominal bloating since 2-3 months *Shortness of breath since 2-3 months *Pain in the left side of the chest- history of trauma to chest before day History of present illness *Patient was apparently asymptomatic 2-3 months ago than he had developed abdominal bloating,which aggravated on food intake, Relieved on medication,not associated with vomitings *Shortness of breath on exertion(grade 2 MMRC),which aggrevated since 3 months after bloating of abdomen, Relieved on sleeping. *History of trauma to left 8th rib on before day,while doing routine labour work and continuous pain in left side of chest, dragging type of pain,which aggre
Read more

General medicine Case 6

Image
CASE scenario.... Hi, I am D.Rajashri, 3rd 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 Patient Details A 70 years old female, resident of chityala presented with Chief complaint *Giddiness since one week *Fainted 3 times since one week *Deviation of mouth since 1 day *Slurring of speech since 1 day History of present illness Patient was apparantly asymptomatic one week ago then there was sudden onset of giddiness,giddiness more on position change,history of fall 3 episodes since one week even after intake of food, external injury and suturing done outside,altered sensorium and irritable behaviour, deviation of angle of mouth and slurring of speech since 1 day History of past illness Not a known case of hypertension, diabetes,fever,cought, tuberculosis, vomiting, shortness of breath, abdominal pain,loose stools Known case of seizures 
Read more

General Medicine Case-5

Image
CASE scenario.... Hi, I am D.Rajashri, 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 21 years old male , resident of choutuppal, presented with Chief Complaint *Severe vomitings since 2 weeks *Stomach pain since 2 weeks *Shortness of breath 1 week History of present illness *Patient was assymptomatic 2 weeks back,later there was onset of, more than 10 episodes of vomiting in 24 hours with nausea . Vomiting on drinking of water, with white foam, without fowl smell. *Patient complained with pain in epigastric region , which was due to heaviness,non radiating pain.Went to near by government hospital but not relieved on medication. pain is aggregating on sitting and relieving on sleeping. *Patient complained with shortness of breath since one week,which is being aggregating on talking and relieving on rest History of
Read more

General Medicine Case-4

Image
CASE scenario.... Hi, I am D.Rajashri, 3rd 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 Patient Details A 70 years old female,Housewife, resident of Bhongiri, presented with Chief Complaint Slurring of speech since 4 days Difficulty in walking since 4 days History of present illness Patient was apparently asymptomatic 4 years back,later there was onset of slurring of speech and difficulty in walking ,which was relieved on medication.Now there is again onset of same condition since 4 days back. Past History Known case of Hypertension since 15 years Known case of Diabetes since 8 years Family History No similar complaints Personal History Diet-mixed Apatite-normal Sleep-adequate Bowel and bladder -normal Mituration-normal Drug History Preva gold 10mg Revacon 10mg Nicardia 20mg General Examination Patient is concious and cooperative Pati
Read more

GM case -3

Image
CASE scenario.... Hi, I am D.Rajashri, 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 38 years old male,resident of lingotam village ,works as a daily labour presented with Cheif complaint Vomitings since 3 days History of present illness The patient was apparently alright 9 years ago later he took poison due to some personal issues and gastric lavage has done . After that he used to have 3-4 episodes of vomiting for 2-3 days once or twice in the year,and was relieved on medication Vomiting consist of food particles and was yellowish colour, occurs even before and after taking food and is associated with squeezing of stomach History of past illness Not a known case of hypertension, diabetics,CAD,asthama,TB Family history No history of similar complaints in the family Personal history Diet-mixed diet Appetite -nor
Read more

GM case-2

Image
CASE scenario.... Hi, I am D.Rajashri, 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 70 year old male,farmer by occupation,resident of chityala presented with Chief Complaint Shortness of breath Fever since 15 days Headache  History of present illness *Patient was suffering with shortness of breath since 15 days which was present with farm work started insidiously,progressing over time,non seasonal, reached present state of shortness of breath at rest. *Complaint of high grade fever and it subsided with medication for 1 week but from then he is having intermittent fever *Complaint of headache, intermittent,throbbing type, diffuse and bilateral.not associated with nausea , vomitings. Past history *Known case of diabetes since 10 years *Not a known case of hypertension, epilepsy,CAD *No history of TB in the past *Hi
Read more