A 54 year old male C/O abdominal bloating and sob since 2 -3 months.C/o pain in left side of chest - h/o trauma to chest yesterday

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.

A 54 year old male C/O abdominal bloating and sob since 2 -3 months.
C/o pain in left side of chest - h/o trauma to chest yesterday 
Hopi :
Patient was apparently asymptomatic 2 to 3 months ago then he had developed abdominal bloating, which aggravated after food intake, which relieved after taking PPIs , belching present, no regurgitation
H/o sob on exertion ( grade l mmrc ) which aggravated since 3 months after bloating of abdomen 
No C/O chest pain ,palpitations,orthopnea,pmd, decreased urine out put/facial puffiness
H/o trauma to left 8th rib yesterday while doing routine labour work , and continuous pain in the left side of chest, dragging type pain , aggravates on movement and during deep inspiration
N/k/c/o fever cold cough, vomiting, loose stools 
Past history:
N/K/C/O HTn,DM,CAD,CVA,TB , asthma and epilepsy

Popular posts from this blog

Cushing's syndrome

Image
A 17 years old Male pt , who is a student,  resident at nalgonda  presented with the chief complaints of increased itchy red lesions over the body  Chief complaints:    1 . 1 and 1/2 year  ago  - itchy ring lesions over arm abdomen, thighs,groin region was absorbed   2 . 1 year ago - purple stretch marks all over abdomen, lower back ,upper limb things are absorbed   3 . 6 months ago -   facial puffiness , abdominal                           distension are absorbed  4 . 3 months ago -  pedal edema , low back ache ,                    weight gain and decreased libido  5 . 2 months ago -  loss of libido , erectile dysfunction  6 . Recently.. feeling low , not feeling to talk to anyone  History of present illness  :    A      Pt was aparently asymptomatic  1 and 1/2 year               back  then after eating some non-vegetarian food , he slowly developed  erythrmatous round lesions          Shape is annular , itchy all over abdomen , upper limb , groin , inner thigh region   B       then t
Read more

medicine long case

Image
Hall ticket no : 1701006179  This is 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. I have been given this case to solve in an attempt to understand the topic of “patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with diagnosis and treatment plan 55 years old female patient resident of choutuppal who have sedentary life came to the hospital on 10/6/22 with  Chief complaints: -Shortness of breath Since 2 days  -Bilateral pedal edem
Read more

57 yr male pt with generalized swelling in legs

Image
57 year old man with generalized swelling in his legs since 10 days  A 57 year old man, who works different jobs for wages, hailing from Miryalaguda presented to the hospital with- • generalized swelling of legs since 2 days. Date of admission - 7/10/21. HISTORY OF PRESENT ILLNESS • The patient was apparently asymptomatic two years back. • Patient noticed swelling in their legs one and a half year ago. • They visited a hospital in Miryalaguda who diagnosed the patient with Chronic Kidney Disease. • The hospital instructed the patient to start dialysis. • The patient starts dialysis but the pandemic ensues leaving patient and their family in financial weeds. • In mid 2020 the patient decides to stop going for dialysis for 8 months. • At home, the patient usually wakes up by 7am. They do not work or participate in the household activities.  • The patient then sits out of the house in the sun till lunch.  • After lunch patient sleeps; to wake up after 2 hours. • The patient then gathers w
Read more