G.Sadhguna
General medicine elog
Hi , I am G Sadhguna ,3rd semester student. This is an online elog book to discuss our patients health data after taking his consent. This also reflects my patient centered online learning portfolio.
A case of 61 year old male patient who is a farmer by occupation resident of yadadribhuvanagiri, came to CKD for dialysis having symptoms of severe backpain,fever and SOB
HISTORY OF PRESENT ILLNESS
Patient was apparently asymptomatic 1 month back
1 month back he developed severe bodypains mostly back pain associated with itching
He also has symptoms of giddiness and headache
With these symptoms he went to meet RMP doctor and the doctor suggested antibiotics still his symptoms were not decreased
On 12-12-2022 he went to hospital near mothkur there he was diagnosed with blood infection
On 17-12-2022 he went to hospital near Janagam as his pains were not reduced there he was diagnosed with kidney problem doctor suggested to undergo dialysis but the hospital doesn't have proper equipment for dialysis he was referred to go to other hospital
On 18-12-2022 he came to Kims with the same complaints and he underwent dialysis
He has intermittent fever since 4 days
SOB since 1 month
PAST HISTORY
Diabetes mellitus since 2 yrs
Hypertension since 2 months
N/K/C/O CAD,Asthma, epilepsy,TB
No H/O burning micturition
No H/O decreased micturition
No H/O bilateral pedal oedema
FAMILY HISTORY
Not relevant
PERSONAL HISTORY
Diet - mixed
Sleep - Adequate (3-4 hrs)
Appetite- decreased
Bowel and bladder movements- normal
Addictions-Occasional alcohol drinker
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