GENERAL MEDICINE 7

19/ 12 /2022

A13 YEAR OLD FEMALE COME TO THE CHIEF COMPLAINT OF BLOOD IN URINE AND SWELLING OF THE BODY


Hi I'm Soniya , 3rd sem medical student .This is an online elogbook to discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio.

CASE STUDY

  C C :A 13 year old female resident of sarempet came to the chief complaint of generalized swelling of body since 1month 
Fever since 1 month
Blood in urine since 1 month 
HOPI : Pt was apparently asymptomatic 1 months ago then she developed  fever low grade intermittent type relieved with medication 
Not associated with chills and rigor
Vomiting  which is non bilious  contain small food particles 4 episodes/ day 
Loose stools 3 to 4 episodes/Day
Not associated with pain 
Now patient presented to the OPD with the complient of hematuria  which is red in colour since 1 month
No burning micturition
Decreased urine out put 
Then she developed initially both lower limb of pedal edema  then gradually seen in face puffy ness of edema 
Edema in abdomen 
No history of sore throat infection

PAST HISTORY 
No similar history in the past 
No history of hypertension ,epilepsy, bronchial asthama ,DM, TB

FAMILY HISTORY. 
No history
MENSTRUAL HISTORY
Age of menarche at 11 year 
Lmp 25/11/22

PERSONAL HISTORY 

Loss of appetite
Diet mixed 
Adequate sleep 
Bowel and bladder movement normal 
No history of allergy

GENERAL EXAMINATION

Patient was concious coherent cooperative
Examined in sitting position
Paller++
No icterus
No cyanosis
No clubbing of finger s
No lymphadenopathy
Pedal edema present pitting type of edema 

Vitals 
Afebrial on touch 
Temperature 98.4F 
PR 74bpm
RR. 18
bp 120 /90
Spo2 98%
GRBS 92

SYSTEMIC EXAMINATIONS 

Systemic examination
Cvs: 
No thrills
Heart sounds S1 S2 heard
No murmers
RS :
No dyspnoea
Position of trachea central
Breath sounds vesicular
Abdomen;
Shape of abdomen scopoid
No palpable liver 
No palpable spleen
No free fluid
CNS;
Conscious
Speech abnormal
Reflexs biceps triceps supinator knee
Right. ++. ++. ++. ++
Left. ++. ++. ++. ++
DAIGNOSIS POST INFECTION S GLOMERULONEPHRITIS 
INVESTIGATION S
Paller++
https://drive.google.com/file/d/19m32mYMtFk4q665-VQkXdBtXlrarfOZ5/view?usp=drivesdkpitting type of edema
Treatment
Salt restrictions 

Popular posts from this blog

GENERAL MEDICINE 8

Image
   A 70 YEAR OLD MALE PATIENT COME TO THE CHIEF COMPLAINT OF SHORT NESS OF BREATH.FEVER.COUGH  Hi   I'm Soniya , 3rd sem medical student .This is an online elogbook to discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio. CASE STUDY   C.C  A 70 year old male patient. agriculture by occupation resident of Haliya  come to the chief complient of  Short ness of breath since 6 days  Fever since 6 day Productive cough since 6 days with chest pain  HoPI; Patient was apparently asymptomatic 15 years ago then he developed cough which is dry and breath less ness  are present they are seasonal and diurnal variation(night >mrg) In winter they are more common  Since 3 years breath less ness showed no seasonal variation  Sob is aggressive during agriculture activity relived by rest Patient had aknown history of road traffic accident 1 year ago (spine deformity)  Later he developed hypokinesia ( CAD ) he is on anti platelet
Read more

GENERAL MEDICINE 10

Image
A 50 YEAR OLD MALE PATIENT COME TO THE CHIEF COMPLAINT OF PAIN IN UPPER ABDOMEN AND Since NIGHT  Hi I'm Soniya , 3rd sem medical student .This is an online elogbook to discuss our patients health data after taking her consent.This also reflects my patient centered online learningortfolio  50 year old male who is farmer by occupation resident of nakerekal  came to OPD with cheif complaints of  pain in upper part of  abdomen since yesterday night and known history of alcohol intake  Which is not radiating HoPI:  Patient was apparently asymptomatic 1 day ago then he. Developed pain in abdomen which is gradual onset  known history of alcohol intake  Pain is not associated with radiation No aggregating and reliving factor are present  No history of vomiting    No  history of loose motions  PAST HISTORY Similar complaint are present in the past 3 episode s and he daignosed with acute pancreatitis  he is on same unknown medication  A know history of daibetes  since 2 years.  No history
Read more