GENERAL MEDICINE

GENERAL MEDICINE 
March, 11, 2023
GM CASE 4
March, 11,2023
General Medicine 
Case 4
Case scenario....
Hi, I am B.pragathi, 3rd BDS student. 
This is an online elog book to discuss our patient health data after taking his consent. This also reflects my patient centered online learning portfolio .
                   CASE HISTORY 
 Patient details 
A 50 years old male  occupation by  stone thrower, Resident of Nalgonda presented with the
Chief complaint of
Pain at back side and oedema  of feet, shortness of breath since one month 
History of present illness 
Patient was apparently asymptomatic one month  back,then had pain at backside and shortness of breath, oedema  of feet, and brought  to hospital for dialysis, one episode of  dialysis is done.
History of past illness 
Hypertension: present 
Tuberculosis: No 
CVA: No 
Epilepsy: No 
Diabetes : No 
Family history 
Not significant 
Personal history 
Diet: mixed
Appetite: Normal 
Micturition: Not proper 
Bowel movements: constipation 
Addictions: No addictions
Sleep: Normal 
General examination 
Patient was conscious and Co-operative 
Normal built
moderately Nourished
Pallor:slight pallor is present 
Icterus: No 
Cyanosis: No 
Lymphadenopathy: No  
Oedema:  pitting type of edema which is extended from feet up to knees 
       PROVISIONAL DIAGNOSIS 
               Renal failure 
Q/ A
1)How can I reduce my risk of complications?
2)What medications are available to keep kidney disease from getting worse? 
3)how many episodes of dialysis should I need?
4)which diet should I follow?
5)Is kidney transplant possible?





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