GM - 01

February 13 2023
Case scenario……
Hi, I am V.Shivani , 3rd year 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 SHEET : A 83 year old women with chest pain .
Chief Complaints : chest pain associated with postural movement (5 days )and shortness of breath.
The patient had cough from 3 days but it is irregular.
There is no burning sensation .

HISTORY OF PRESENT ILLNESS :
Location - thoracic region
Pain is radiating to the abdominal region.
Aggrevating factor - sudden postural change
Sometimes associated with dry cough.
Patient also had dizziness at times .
Associated diseases : Hypertension , Diabetes

PAST HISTORY :
Previously , the patient had 2 episodes of pain
Patient had a stunt 1 month back

PERSONAL HISTORY : 
Diet - no proper apatite 
Sleep - no proper sleep
Bowl and bladder - normal
Addictions - No

FAMILY HISTORY : 
Hypertension since 20 years
Diabetes Mellitus since 20 years
 
DRUG HISTORY :
Metoprolol 
Metformin

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