General medicine e log 2
Hi,I am Tharun 3rd sem medical student.This is an online e block to discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio A 45 years old male came with SOB, B/L pedal edema CHEIF COMPLAINT:c/o SOB, B/L pedal edema since one month HOPI: patient was apparently asymptotic 1 month back then he developed SOB and pedal edema HISTORY OF PAST ILLNESS: K/c/o Hypertension (3 years) TREATMENT HISTORY : No diabetes , CAD, asthama, TB PERSONAL HISTORY : Apetite normal Micturation normal Bowels - regular FAMILY HISTORY : Diabetics - NO Hypertension - NO Heart disease - NO Stroke - NO PHYSICAL EXAMINATION GENERAL : No pallor No icterus No cyanosis No clubbing of fingers No lymphadenopathy No Oedema of feet No malnutrition No dehydration Pulse rate : 86/min Respiration rate : 16/min BP : 140/80 mm/hg SPO2 at room air 98% SYSTEMIC EXAMINATION CARDIO VASCULAR SYSTEM No thrills S1 S2 cardiac sounds Car