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General medicine e log 2

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  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

GENERAL MEDICINE E-log-1

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A 80 years old female came with shortness of breath and dry cough for the past 3 days. 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          Cheif complaints : shortness of breath and dry cough for the past 3 days. HOPI: 80 years old female came to causality with complaint of shortness of breath and dry cough for the past 3 days, patient was apparently alright 3 days back then she developed shiverness of breath which was insidious in onset and gradually increased and progressive and increased on exertion. PAST HISTORY: 20 years back she had complaints of giddiness and headache for which she went to hospital and eventually diagnosised with hypertension for which she was prescribed with atenolol+amlodipine 6 years back she had complaints of polyuria she went to hospital and diagnosied with Diabetes Mellitus type-ll and she was persisted metform