Medicine

Hello all , I’m an intern and here is a case history of  one of our patients who got admitted . This is to complete my log book as a part of my internship duty.    A 30 year old shepherd from Gopanatlapuram presented to the OPD with complaints of Dyspnea and pedal edema since 15 days.  An able shepherd who finished schooling till Class 7 and eventually pursued his current occupation with his father, the patient had been having a fairly fulfilling life until last October when he first reported breathlessness while taking the herd atop a molehill. He remembers the event as he felt scaling this molehill was quite easy for him before but this time he felt breathless and had to rest for a while to catch up his breath. Retrospectively he says that he had a feeling of suffocation and felt relieved after a few minutes in the shade.  The patient also reported that such events have been progressive since October and that on quite a few occasions he felt ...

Hello all , I’m an intern and here is a case history of  one of our patients who got admitted . This is to complete my log book as a part of my internship duty.  Edit:I was not there in the op so i collected the hirtory part from my co- intern and i had to type the discharge letter so i added extra points about the examination and investigations part . So we both helped each other.  11/04/2020 A 47 year old female presented to OPD with complaints of  Difficulty in breathing since 10 days not aggravated or relieved with positional or diurnal variation  palpitations since 10 days  which were short lasting Bilateral pitting type of edema of lower extremities  since 10 days  No h/o pain or warmth at the local sites of edema , no color change No h/o facial puffiness or abdominal distention. Bp :   130/90 mmhg Pulse: 88 bpm Temp: afebrile She is a known hypertensive pt since 20 years .she is on medication tab . Tel...