Internal Assessment 1
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A 25yr old female with history of generalized edema and shortness of breath.
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 complaints : Bilateral pedal edema on and off since 1 month. Shortness of breath since 2 days. Fever since 4 days. History of present illness : Patient was apparently asymptomatic 1 month back (G2P1L1 at 30 weeks of gestation) when she developed generalized edema for which she visited local hospital and was diagnosed with gestational hypertension and started on Tab.Labet 100 mg. After 1 week she developed 2 episodes of seizures (tongue bite - present, LOC - present) for whic...
A 38 YR OLD FEMALE CAME TO OPD WITH FEVER, VOMITING AND NOT BEING ABLE TO WALK
A 38 yr old female patient, sweeper in a fertiliser company by occupation was brought to casualty with fever, vomitings and hypersalivation. She had low grade, intermittent fever which relieves on medication not associated with chills and rigors. HOPI: She had 5 episodes of vomitings for 2 days which contained food particles, non projectile and non foul smelling. She needed support for walking. Fever since 3 days, vomitings 5 episodes(12th & 13th June 2022), unable to walk since 2 days Negative history: no history of shortness of breath, cough, loose stools Past illness- known hypertensive since 2 years (using medication) NOT a known case of DM, asthma, tuberculosis, diabetes, asthma, epilepsy, CAD Personal History: Mixed diet Bowel And Bladder-Regular Sleep Adequate No Allergies And Addictions. Family History: not significant General Examination: Patient is Conscious, coherent and cooperative. Moderately Built and Nourished. Pallor Absent Icterus Abse...