GM Case - 2

February 27,2023..


Case scenario..


Hi, I am Pranavi Sripada, student of BDS - III. This is an online elog book to discuss our patient’s health data after taking his/her consent. This also reflects my patient centered online learning portfolio.


CASE SHEET

A 72 year old female, resident of Chityala has presented with


Chief complaint:

Shortness of breath & chest pain since 2 days.


History of Present illness:

The patient was apparently asymptomatic 2days before. When she woke up in the morning she was having sudden onset of grade- IV shortness of breath associated with right side chest pain which is radiating to right side of the neck above & to right side of the abdomen below. It is also associated with profuse sweating.

The patient had a heart stroke & a stent was placed in her heart 4 years ago.


History of past illness :

The patient is non-diabetic and her Blood Pressure is normal.


Family History - Nil.


Patient History :

Diet - Mixed

Appetite - Decreased 

Bowel & Bladder - Irregular 

Sleep - Inadequate 


Drug history :

Tab.Carvediol 3.125 mg

Tab.Ecosprin 


General Examination :

Pallor - No

Icterus - No

Cyanosis - No

Clubbing - No

Lymphadenopathy - No

Oedema - No

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