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.
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)
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