Ujwala 137

 A 42 year old female came to the hospital with chief complaints of pedal edema, shortness of breath and decreased urine output since 6 months. HISTORY OF PRESENT ILLNESS:- The patient was apparently asymptomatic 6 months ago and then she developed pedal edema, which was gradual in onset, progressive along with shortness of breath (grade III-IV) along with decreased urine output. She then came to this hospital for further evaluation. HISTORY OF PAST ILLNESS:- She is not a known case of diabetes mellitus, CVA, TB, asthma. She had hypertension since 6 months. TREATMENT HISTORY:- The patient had a blood transfusion in the past. She is also regularly taking medicines for her symptoms. She had a C-Section surgery 20 years ago. PERSONAL HISTORY:- Diet: Mixed, but ever since the onset of her symptoms, she stopped consuming non-vegetarian food. Appetite: decreased Bowels: irregular Micturition: decreased FAMILY HISTORY:- No history of diabetes, hypertension, heart disease or stroke, tuberc...

 A 60 year old female resident of thakkellapally who is a housewife came with the complaints of fever since 10 days nausea and vomiting since 10 days and productive cough since 10 days  History of present illness  Patient was apparently asymptomatic 10 days back then she developed fever which is insidious in onset ,continuous with no diurnal variations and not associated with chills and rigors ,relived on medication ,no history of headache history of vomiting and nausea since 10 days almost 2 times a day which is non projectile, non bilious with loss of appetite  Complains of Bilateral knee pain for which she is taking NSAIDS since 5 years,no history of other body pains Cough with expectoration with mucoid sputum and associated with pain in back while coughingk No History of burning micturition ,loose stools, pain abdomen ,pedal edema,chest pain, Shortness of breath, palpitations  Past history Not a known case of diabetes ,hypertension ,asthma ,epilepsy,coronary...

     

I have been given the following assignment in an attempt to read,comprehend analyze,reflect upon and discuss captured patient centered data. This is the link of the questions asked for the assignment https://medicinedepartment.blogspot.com/2021/10/oct-2021-formative-bimonthly-blended.html?m=1 Question 1 peer review competency 1.https://vamsikrishnarollno16.blogspot.com/2021/10/a-case-of-64yrs-old-male-patient-with.html?m=1  History taken was complete and clear, Data collected was well and the diagnosis and treatment given were appropriate. 2.https://63konakanchihyndavi.blogspot.com/2021/10/a-case-discussion-on-chronic-liver.html This elog was very well explained and history taken was in very appreciative  3.https://muskaanmenghwani.blogspot.com/2021/10/blurring-of-vision-mystery-to-slove.html?m= 1 All the CNS examination are done well and explanation was good ,diagnosis is fine 4.http://yashwanthmynenirollno111.blogspot.com/2021/10/a-70yr-old-with-acute-ischemic-stroke.html Th...

   A 50yr old female resident of suryapet came to the op with chief complaints of  back pain Fever  Bilateral pedal edema  Puffiness of face History of present illness Patient was asymptomatic 6months back then she developed the back pain ,fever and pedal edema Past history k/c/o HTN since 7yrs Medication not known No History of DM,TB, epilepsy Personal history Appetite - decreased Diet- mixed Sleep-inadequate No addictions Bladder movements are normal  But she has c/o constipation Family history No significant family history General examination No icterus, pallor,cyanosis,clubbing,lymphadenopathy Bilateral pedal edema and facial puffiness are present Vitals BP 180/110mmhg Pulse-88 beats/min Temp-97°F RR -18 CPM Systemic examination RS :B/L inspiration crestfallen over lung fields CVS:S1 and S2 are heard, no murmurs CNS:No focal deformities Investigations Haemogram Hb: 7.5gm/dl TLC:7800/cumm PCV:23.3 RCB:2.6million /cumm PLT:1.54lakh/cumm RFT urea:46mg/dl C...