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