GM CASE 3

GM case 3 
Case scenario.....
Hi, this is k.vaishnavi , IIIrd BDS. This is an online eblog book discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio.
 
Case sheet : a 65 year old women joined with burning micturation and abdominal pain.

Chief complain : patient with burning micturation and abdominal pain since 2 months.

History of present illness:
Patient was apparently asymptomatic before 2 months.
She consultanted doctor and there were no symptoms diagnosed by that doctor. It have been 2 months after consulting doctor and burning sensation and pain haven't decreased. 
Swellings are present on hands , legs and face .
Signs of paralysis is found on face .

Associated diseases:
Diabetes mellitus type II
Hypertension

History of past illness:
Patient got heart stroke before 7 years.
And it was treated by stunt.
Patient is suffering from diabetes mellitus since 7 years.
Patient is suffering from hypertension since 7 years.
Before 2 years she got a paralysis attack . 
She have fatigue and there is a shooting type of nerve pain.
Stomach has swollen .
Personal History:
  Daily routine- She used to wake up around 6am,have breakfast around 9am. She used to have lunch at 1pm and would take rest for sometime and have dinner around 8pm.
     Appetite: no appetite since heart stroke.
     Diet: mixed
     Bowel movements: not regular 
      Addictions : no addictions 
     Micturition: burning micturation 
     Know allergies: no allergies 

Family History:
      No significant family history .

GENERAL EXAMINATION:
Pallor : no
Icterus :no
Cyanosis : no
Clubbing : no
Lymphadenopathy : no
Edema : no

VITALS:
Temperature: 98.6°c/f
Pulse: 69beats per minute
Respiratory rate: 16cycles per minute
Blood pressure: 130/90 mm of Hg
SPO2: 98%

SYSTEMIC EXAMINATION:

Upper respiratory tract examination:
Left sided deviated nasal septum 
Oral cavity- normal oral hygiene 
Lower respiratory tract :
Inspection :
- shape of chest is symmetrical,elliptical 
- Chest expansion equal on both sides 

Palpation :

All inspectory findings are confirmed with palpation.
 Trachea central in position.
 No local rise in temperature
 No tenderness 
 Chest movements: Equal on both side.

  Cardiovascular Examination:
Thrills: no
Cardiac sounds: S1, S2 heard
Cardiac murmurs: No

PROVISIONAL DIAGNOSIS:


Questions from patient :
1. How I have to bare the acidity?
2. Medication required to increase appetite.

Questions from me:
1.Why did the signs of paralysis still present ?



Popular posts from this blog

fluid biopsy

      Name of the student: k vaishnavi       Registration number:2446       Title of the presentation: FLUID BIOPSY       Category: review       College name: kamineni institute of dental sciences                   Abstract The invasive techniques for diagnosing and monitoring cancers are slowly being replaced by noninvasive methods such as liquid biopsy. Liquid biopsies have drastically revolutionized the feld of clinical oncology, ofering ease in tumor sampling, continuous monitoring by repeated sampling, devising personalized therapeutic regimens, and screening for therapeutic resistance. Liquid biopsies consist of isolating tumor-derived entities like circulating tumor cells, circulating tumor DNA, tumor extracellular vesicles, etc., present in the body fuids of patients with cancer, followed by an analysis of genomic and proteomic data contained within them. Methods for isolation and analysis of liquid biopsies have rapidly evolved over the past few years as described i
Read more

GM CASE 4

Image
Case scenario.... Hi, this is k.vaishnavi , IIIrd BDS. This is an online eblog book discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio. Case sheet : a 82 year old women joined causality with fever, knee pain and difficulty in standing. Chief complain: patient suffering from fever and knee pain since two days . History of present illness : patient's was apparently asymptomatic 2 days . Then developed fever , a high grade fever which is not associated with chills or rigors , and no diurnal variation . It is relieved on medication . Pain in knee joint since two days . There is no history of cold , cough , shortness of breath , burning micturation , vomitings , loose stools , giddiness . History of past illness: patient was admitted 20 days ago with similar complains and was discharged one week ago. There was drainage of fluid from knee joint. Patient suffering from bp since 10 years. No history of diab
Read more