40 year old Female presenting with swelling in face and abdominal distension.

                   E LOG GENERAL MEDICINE.

Hi, I am Anvitha, 3rd Sem Medical Student. This is an online e-log book to discuss our patient's health data shared after taking his/her/guardian's consent . This also reflects patient centered care and online learning portfolio.

  • This E-log book also reflects my patient-centered online learning portfolio and of course, your valuable inputs and feedbacks are most welcome through the comments box provided at the very end. HAPPY READING!

* This is an ongoing case. I am in the process of updating and editing this ELOG as and when required. 

                                  CASE SHEET.

40 YEAR OLD FEMALE PRESENTING WITH SWELLING IN FACE AND ABDOMINAL DISTENSION.


CHIEF COMPLAINTS:

A 40/F Came with complaints of 

Abdominal Distension since 1 year 

Facial puffiness since 1 year 

Itching all over the body since 1 year and developed multiple plaques on abdomen and Lower limbs 

SOB: since  5 days

pedal edema since 5 days pitting type.


Date of admission : 31.05.2022


HISTORY OF PRESENT ILLNESS:


Patient was apparently asymptomatic 1 year back then she developed abdominal distension, facial puffiness,itching all over the body and 5 days ago she developed pedal edema and shortness of breath.


HISTORY OF PAST ILLNESS:

  • No h/o chest pain / giddiness/ syncope/ cough  
  • The Patient was in steroids from past three months.
  • No h/o vomiting
  • No h/o diarrhoea 
  • No other specific complaints.
  • Diabetes Mellitus


PERSONAL HISTORY:

  • Appetite is Lost From Past Five Days
  • Having Mixed diet
  • Bowel and Bladder Habits: Decreased
  • No other habits or addictions.


FAMILY HISTORY:

No Significant Family History.


GENERAL EXAMINATION:

Patient is conscious coherent and cooperative.


VITALS:


BP: 110/80

PR: 90bpm

TEMP: 98.5degrees F


GENERAL EXAMINATION:


NO PALLOR

ICTERUS  

CYANOSIS 

CLUBBING  

LYMPHADENOPATHY 


SYSTEMIC EXAMINATION:


CVS-S1 S2+


P/A-SOFT, NON TENDER, NO ORGANOMEGALY


RS - BAE +

                 

              (Skin allergy showing plaques on skin)


        

                 ( white striations on abdomen)

        

                  (Abdominal distension)

INVESTIGATIONS DONE:









                                                        Anvitha Reddy

                                                          (Roll no: 15)














Comments

Post a Comment

Popular posts from this blog

A 48 year old female came with the complaints of swelling in face hands and legs.

Image
                       E LOG GENERAL MEDICINE. Hi, I am Anvitha, 3rd Sem Medical Student.  This is an online e-log book to discuss our patient's health data shared after taking his/her/guardian's consent . This also reflects patient centered care and online learning portfolio. This E-log book also reflects my patient-centered online learning portfolio and of course, your valuable inputs and feedbacks are most welcome through the comments box provided at the very end. HAPPY READING.  * This is an ongoing case. I am in the process of updating  and editing this ELOG as and when required                                    CASE SHEET.                                             Chief complaints and duration. A 48 year old female patient who is a housewife by occupation came to the opd with the chief complains of bilateral pedal edema and puffiness of the face. History of present illness. Patient was apparently asymptomatic one year back when she developed bilateral pedal edema (pitt
Read more

A 70 year old male patient came to opd with the chief complain of slurring of speech and inability to walk.

Image
                        E LOG GENERAL MEDICINE. Hi, I am Anvitha,5th Sem Medical Student.  This is an online e-log book to discuss our patient's health data shared after taking his/her/guardian's consent . This also reflects patient centered care and online learning portfolio. This E-log book also reflects my patient-centered online learning portfolio and of course, your valuable inputs and feedbacks are most welcome through the comments box provided at the very end. HAPPY READING.  * This is an ongoing case. I am in the process of updating  and editing this ELOG as and when required                                CASE SHEET.                                             Chief complaints and duration. A 70 yr old male patient came with the chief complain of unable to walk since two years and difficulty in speech since two years and difficulty in swallowing food and passing urine and stools. History of present illness. Patient was apparently asymptomatic 4 years ago then he develo
Read more

A 40 year old female patient came with the chief complains of dry cough since one week and left upper and lower limb weakness since two years.

Image
            E LOG GENERAL MEDICINE. Hi, I am Anvitha, 3rd Sem Medical Student.  This is an online e-log book to discuss our patient's health data shared after taking his/her/guardian's consent . This also reflects patient centered care and online learning portfolio. This E-log book also reflects my patient-centered online learning portfolio and of course, your valuable inputs and feedbacks are most welcome through the comments box provided at the very end. HAPPY READING.  * This is an ongoing case. I am in the process of updating  and editing this ELOG as and when required                                    CASE SHEET.                                             Chief complaints and duration. A 40 year old female patient came with the chief complaint of dry cough since one week and weakness of upper and left lower limb since two years. History of present illness. Patient was apparently asymptomatic two years ago then she developed fever and next day while going to farm she deve
Read more