GENERAL MEDICINE

Gm case - 4
April 4, 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 60 years old female, named lingamma, occupation by farmer, Resident of monugodu presented with the 
Chief complaints of 
Dry cough , shortness of breath, chest pain, fever, decreased urine output since one week. 
History of present illness 
Patient was apparently asymptomatic one week back.then she started  complaining of dry cough since a week.  Associated with chest pain, shortness of breath  since a week.  Which is insidious  onset And gradually  progressive in nature and it is grade- 3( shortness  of breath on doing less the ordinary activity) she also  complained of decreased  urine output ( oliguria) since a week .
 History of past illness 
Hypertension: No 
Tuberculosis: No 
CVA : No 
Epilepsy: No 
Diabetes: No 
Family history 
Not significant 
Personal history 
Diet:mixed 
Appetite: Normal 
Micturition: low output (oliguria)
Bowel movements: Normal 
Addictions: No 
Sleep: Normal 
General examination 
Patient was conscious and Co-operative .
Normal built
Moderately  nourished
Pallor: No 
Icterus: No 
Cyanosis: No 
Clubbing: No 
Lymphadenopathy: No 
Edema: pedal edema 
          PROVISIONAL DIAGNOSIS 
               Renal failure 
Q/ A

1. How can I reduce my risk of complications ? 
2.which diet should I follow ?
3.How many episodes of dialysis should  I need?






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