29 Janani Chimaladinne

Ch Janani  Roll no. 29 A 55 yr old female came to OPD with complaints of pedal edema,shortness of breath since 3 days and decrease urine output. Cheif complaint Pedal edema Shortness of breath Decrease urine output History of present illness Pedal edema and shortness of breath since 3 days and decreased urine output. History of past illness known case of diabetes since 10 yrs hypertension since 10 yrs  Not known case of tb, epilepsy  Family history Family history of diabetes and hypertension Personal history Married Loss of appetite Diet: mixed Bowel and bladder movements are abnormal No allergies No drug history General examination Moderately built No palor No cyanosis No icterus No lymphadenopathy No clubbing No pedal edema Vitals Temperature 98 F Pulse rate 98/min Bp 140/90mmHg GRBS 100 % Systemic examination Cvs S1 ans S2 are present No thrills  No murmurs Respiratory system No dyspnea and no wheezing Position of trachea is central Breath sounds are vesicular Abd...

GM case study June 09, 202 2 Ch Janani  Roll no .29 Below is an elog describing patient centered data approach and discussion regarding patient deidentified health data. CHIEF COMPLAINTS A 75 year male patient from chotuppal came to causality with chief complaints of unresponsiveness and unable to speak.  HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 4 days back. Then skipped his breakfast and his medicine ( voglibose, metformin, glimiperide) due to other works. Then he became unresponsiveness on 6/06/22 morning. Then was taken to hospital.   HISTORY OF PAST ILLNESS He was apparently asymptotic 6 years back. Then he went to hospital due to decreased responsiveness and was diagnosed as DM -II. He is n/k/c/o HTN, CAD , Asthma, epilepsy, TB PERSONAL HISTORY Married Diet: mixed Appetite: normal Bowel movements: normal Bladder movements: normal Alcoholic ( drinks intermittently) Non smoker FAMILY HISTORY Not a k/c/o asthma , TB, epilepsy, diabetes, HTN, CAD GE...