Posts

Showing posts from December, 2022

Prefinal examination

Image
 
Image
December 3 2022 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 •  chief complaint:-   C/o pain in abdomen since 1day  • History of present illness:- Patient is apparently asymptomatic 15yrs back then he developed left side pain(Renal calculi) for which PCNL surgery was done 4 months back pt developed yellowish discoloration of eyes and pain abdomen for which he admitted in hospital and managed conservatively  Now since 1day patient c/o pain in abdomen in right hypochondrium region,non radiating insidious onset not associated with
Image
 1 December  2022 CHIEF COMPLAINT A 40 yrs old female patient came to the opd with chief complaints of swelling of foot since one year and puffiness of face since 2 months HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic one year back then  she developed bilateral pedal edema extending upto the knee, putting type. Puffiness of face since 2 months back and reduced puffiness of face after taking medication after one week HISTORY OF PAST ILLNESSES K/C/O Hypertension since 3 years and she was on medication- T -NICARDIA 20mg po bd K/C/O Hypothyroidism since 1year and she was on medication- Thyroxin 50mcg po od N/K/C/I diabetes Mellitus TB asthma epilepsy PERSONAL HISTORY  Married Occupation- home maker Appite- normal Diet - mixed Bowel movements- normal Micturation- normal Drug allergies- no known drug allergy Habits  / addiction - no habits FAMILY HISTORY Not significant MENSTRUAL HISTORY Normal  HISTERIC HISTORY 2 children 1 abortion PHYSICAL EXAMINATION GENERAL Patient is e