GM case 6

CASE scenario...

Hi,I am K.Sathpriya,3rd BDS student.This is an online elog book to discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio 
                      CASE HISTORY 
Patient Details 
A 60 years old female,Occupation Housewife,Resident of munugodu presented with
Chief complaints 
Patient presents with Dry cough since 1 week,chest pain since 1 week,Shortness of Breath since 1 week and fever since 5 Days 
History of present illness 
*Patient was apparently asymptomatic 1 week ago then she started complaining of dry cough which was insidious in onset,gradually progressive in nature associated with chest pain while coughing,No aggrevating and relieving factors,
*Complaining of Shortness of Breath of Grade 2 which is progressed to Grade 3
*On and off pedal oedema is present
*Fever since 5 days which is intermediate and low grade fever.
History of past illness 
Diabetes mellitus-Absent
Hypertension-Absent
CVA-Absent 
CAD-Absent 
TB-absent
Epilepsy-absent
Asthma-Absent 
Personal History 
Diet-Mixed 
Appetite-Normal 
Sleep-Adequate 
Bowel and Bladder-Regular
Micturition-Normal 
No known allergies
No known addictions
Family History 
No similar complaints 
General examination 
Patient is conscious and Cooperative 
Pallor-Absent
Icterus-Absent 
Cyanosis-Absent 
Clubbing-Absent 
Lymphadenopathy-Absent 
Edema-Absent 
Q/A
*What might be the reasons for chest pain?
*How long does it take to cure?
*What are the systems get affected because of chest pain?

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