A 48 year old female came with the complaints of swelling in face hands and legs.
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 (pitting type) extending till the knee, knee pain. She was relieved by medication. Three months back the symptoms reappeared where she was again relieved by medication.15 days back the symptoms reappeared and came to our hospital.
History of past illness.
H/O Hypertension since 3 years (on regular medication )
Tab Nicardia 20 mg POBD
K/C/O hypothyroidism since one year (on medication)
Tab Thyroxine 50 mcg POOD
N/ K/C/O DM, TB, Asthma and Epilepsy
Personal history.
Mixed diet
Appetite normal
Bowel movements regular
Burning micturition when on medication.
No addictions
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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