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General medicine 2

  CASE SHEET: A 30 yr old female patient came to opd with chief complaints chest pain and pain at back of chest  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 6 months back,then she developed chest pain which was episodic for every 15 days,pain was aggregating while breathing and doing work,and reliving during medication, pain was radiating towards the back of chest  PAST HISTORY: She had undergone with hysterectomy 6 years back  N|K|C|O  Hypertension, Diabetes, epilepsy, asthma, TB FAMILY HISTORY: Not relevant Drug history: Nil PERSONAL HISTORY: Diet : Mixed Appetite : normal Sleep: inadequate due to chest pain Addictions : Nil Bowel/ bladder: regular bowel movements/ decreased urine output Allergies: nil GENERAL EXAMINATION: Conscious coherent cooperative  Moderately built Moderately nourished  No pallor   No Icterus   No Cyanosis  No clubbing of finger  No lymphadenopathy  Pedal edema with pain present while sitting for long time about 30 min,then it was relive  by
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General medicine

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Hi ,I'm Rama Krishna Dega 3rd semester medical student.this is an elog book to  discuss our patients health deta after taking this consent. This also reflects my patient centered online learning portfolio CASE SHEET:   78 year old female patient presented with reduced urine output & generalised swelling 78 year old female farmer from Miryalguda was admitted into the hospital on 11-07-2022.  Chief complaints: 78 year old female was admitted into the hospital with cheif complaints of swelling of left lower limb since 4 days, blister on left lower limb since 3 days & decreased urine output since 4 days.  History of present illness: Patient was apparently asymptomatic 4 days back & then she had severe itching due to mosquito bite, following which, she scratched that which resulted in bleeding & she used hot water to clean that area & she noticed blister on left lower limb 3 days back. She also developed bilateral pitting type of pedal edema of both the lower limbs &
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