general medicine case-5
March 5 2023,
March 6 2023,
Case-4
March 6 2023,
Hi,I. Y.Ashwitha of 3rd sem dental student.This is an online elog book to discuss our patient health data after taking her consent.This also reflects my patient centered online portfolio.
CASE SHEET:A 60 years old male came with complaint of pedal oedema and dizziness.
CHIEF COMPLAINT:
Patient with dizziness and weakness from 3 days.
HISTORY OF PRESENT ILLNESS:
Patient with history of hypertension for 6 months ,Under medication(Amlodipine)
Diabetes under insulin therapy,
Feeling of weakness, difficulty to walk for 3 days.
HISTORY OF PAST ILLNESS:
Patient is with first sign as hypertension for 6 months,
He had cerebrovascular accident and stroke before 6 months,he got weakness of right limb after cerebrovascular accident,
No history of COPD,
No history of any surgical illness ,
No history of food ,drug and alcohol addictions.
PERSONAL HISTORY:
No smoking,
No alcohol,
Regular bowel and bladder ,
Normal sleeping pattern.
FAMILY HISTORY:
No diabetis,
No hypertension,
No tuberculosis,
No asthma.
GENERAL EXAMINATIN:
No palor,
No icterus,
No clubbing of fingers,
No cyanosis,
No oedema,
No dehydration,
Normal skin.