GM CASE 7

 GM Case 7

Case scenario.....

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

CASE SHEET:

A 30 year old male came with chief complaint of abdominal pain and burning micturition since 3 days. Chest pain since 1 year.

CHIEF COMPLAINT:

pain in abdomen since 3 days.

burning micturition since 3 days.

Chest pain since 1 year.

HISTORY OF PRESENT ILLNESS:

Patient is asymptomatic 3 days ago.

since 3 days pain in the epigastric region.

Pain is progressive, aggravated after food intake which is relieved after 2 to 3 hours.

Abdominal pain is twitching type of pain.

Burning sensation during micturition since 3 days.

There is no increase or decrease in urine output.

Chest pain is radiating from right to left till left hand.

No vomiting, no fever, no loose stools, no cough , no cold.

HISTORY OF PAST ILLNESS:

He has no diabetes, no hypertension, CAD, tuberculosis, asthma.

FAMILY HISTORY: No similar complaint

PERSONAL HISTORY:

Occupation: farmer

Diet: mixed

Appetite: normal

Sleep : regular

Bowl and bladder: regular

Addiction: no

Allergy: no

GENERAL EXAMINATION

Pallor: no

Cyanosis: no

Icterus: no

Clubbing: no

Lymphadenopathy: no

Oedema: no