A 42 year old male patient presented with Hypertension.

  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 42 year old male patient who was a mason by profession presented giddiness, palpitations on and off, difficulty in breathing and headache since morning on 28/11/22.

    History of present illness.

    The patient was apparently asymptomatic and alright till morning when he developed palpitations and shortness of breath (grade 2) and he also had headache.

    History of past illness.

    H/O similar complains in past one year.
    K/C/O Hypertension since one year and was on medication but stopped 
    H/O AKI and CKD.

    Personal history.

    Appetite normal

    Bowel movements regular

    Burning Micturition 

    Sleep inadequate last night

    Addictions :  Regular Alcohol consumption.

    Family history.

    No significant family history.

    PHYSICAL EXAMINATION.

    A. General Examination 

    Pallor is present.

    Icterus is absent

    No cyanosis

    No clubbing of fingers

    No lymphadenopathy

    No malnutrition 

    No clubbing of fingers

    No oedema of feet and hands.

    SYSTEMIC EXAMINATION

    B. Cardiovascular system 

    No thrills 

    No cardiac murmurs

    Cardiac sounds: S1 and S2

    C. Respiratory system

    dyspnea absent 

    No wheezing

    No Vesicular breath sounds .

    Position of trachea - central

    D. Abdomen

    Abdomen is scaphoid

    No tenderness

    No Palpable mass 

    Bowel sounds anew present 

    No bruits

    No free fluids

    E. Central nervous system

    The patient was conscious coherent and cooperative.














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