gm case 4
CASE SCENARIO I am Sahithi, 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 Patient details: 45 yr old male resident of nalgonda Chief complaint: Swelling of legs from 2 months Decreased in urine output Shortness of breath from 7 days HOPI: Patient was apparently asymptomatic 1 week back then he started complaining of pedal edema pitting type extending till knees along the decrease in urine output and sob grade 2 History of past illness: Diabetes-7 yrs Hypertension-9months Tuberculous-5 yrs Personal history: Diet: mixed Appetite:normal bowl:normal Addictions-no Allergies-no Family history - not significant General examination: Pallat- yes Icterus-no Clubbing- no Kyphoscoliosis-no Lymphadenopathy-no Edema-yes Pulse rate- 84/min Temperature-98. 8 Bp- 130/80 Systemic examination: Inspection: Chest symmetry-bilateral Shape of chest -elliptical Kyphoscol