Case scenario
Hi, I am Sindhupriya, 3rd BDS student.
This is an online elog book to discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio
CASE HISTORY
Patient Details:
A 29 years old female,Occupation-Customer service executor,resident of Mumbai presented with
Chief Complaints:
Diarrhea,Chronic kidney disease
History of present illness:
Patient was asymptomatic 2 months back then there was onset of Asthma
Severe pain in legs along with low grade fever.
History of past illness:
Hypertension
Non Diabetic
Difficulty in breathing since 2 months
Epilepsy 2 months ago
No Tuberculosis
Family history:
Patients mother is Hypertensive
Personal history:
Diet-Mixed diet
Appetite-Normal
Sleep-No adequate sleep
Bowel&Bladder-Normal
General examination:
Conscious, Cooperative.
Patient was built thin & poorly nourished
Pallor-present
Icterus-Absent
Cyanosis-Absent
Lymphadenopathy-Absent
Edema-Absent.
Vitals:
Pulse rate:120 bpm
Blood pressure: 150/90 mmHg
Temperature:100°F
Q/A:
1.How long does it take for patient to recover
2.What are the further treatments she have to undergo.