GM Case 3

GM Case 3 

Case scenario.....

Hi, this is B. Meghana, 3 rd BDS student. This is an online eblog book to discuss our patient's health data after taking his consent. This also reflects my patient centered online learning portfolio.

CASE SHEET:

A 13 year old child with fatigue and breathlessness.

CHEIF COMPLAINT:

patient complains of easy fatigue since one year 

                                   breathlessness since one year.

HISTORY OF PRESENT ILLNESS:

she was was apparently asymptomatic till an year ago.

she is an athlete in her school.

suddenly she was unable to keep up her pace.

While playing game she used feel breathlessness and fatigue which was sudden onset gradually relieved on rest.

she wakes up at 7.30 am in the morning have her break fast by 8:30am, goes to school by 9am. She haves her lunch at 12.45pm. In the evening she return home by5.oopm or 5.30 pm. At 8 pm or 8.30pm she haves her dinner and goes to bed by 9.pm or 9.30pm.

HISTORY OF PAST ILLNESS:

She has no history of diabetes, hypertension, asthma, tuberculosis, thyroid disorders.

FAMILY HISTORY:

No significant complaint.

PERSONAL HISTORY:

Student

Diet: non-vegetarian

Appetite: normal

Bowel: normal

Allergies: no

Micturition : normal

GENERAL EXAMINATION:

Pallor: no

Icterus: no

Cyanosis: no

Clubbing : no

Lymphadenopathy: no

PROVISIONAL DIAGNOSIS: Asthma

Questions from patient?

Is there a risk that my asthma get worse with age?

How can I manage my asthma?

Questions from my side:

What is heart rate in asthma?

What is stage 3 asthma?