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.


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