GM Case 3
Case scenario...
Questions:
Hi ,I am M.Sindhupriya 3rd bds student.This is an online elog book to discuss our patient health data after taking his consent. This also reflects my patient centered online learning portfolio
CASE HISTORY
CASE SHEET: 75 years old female resident of nalgonda.
Chief complaint:
Fever from last 3 days.(intermittent fever)
Cough : suddenly (sputum:thick, normal colour)
History of past illness:
*Suffering with asthma since 10 year's and is under medication.
*Not a known case of hypertension, diabetes,tb.
History of present illness:
*She is suffering with fever from last 3 days, low grade fever as it is not associated with chills.
*Pain in abdomen.
*Less urine output with burning micturition.
*No aggregating and relieving factors
Personal history:
Appetite: less appetite
Diet: mixed
Sleep:no
Bowel and bladder movement: irregular
Micturition:less
Allergies:nil
Family history:
Not significant
General examination:
Pallor: no
Cyanosis:no
Clubbing:no
Lymphadenopathy:no
Edema:no
Vitals:
Blood pressure:150/90 mm hg
Sp02:98%
Temperature:98.6°c/f
Systemic examination:
Cardiovascular examination
Cardiac sounds:S1,S2 heard
Cardiac murmurs:no.
Medications:
*What is the reason for less urine output?
* Is there any problem related to kidney?
