GM CASE- 7
July, 11, 2023
General Medicine
Case- 7
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 76 years old male, named yadaiah, occupation farmer, Resident of pochampally presented with
Chief complaint :
Swelling of both legs since 20days , shortness of breath since 20days.
History of present illness:
Patient was apparently asymptomatic 20 days back, then he noticed swelling of both lower limbs . Which is insidious in onset and gradually progressive in nature. Which is aggregated on walking and prolonged standing and relieved on sitting position. Which extend up to the knee ( which is grade- 2 type of edema) and slow type of edema (recovery greater than 40seconds ) and shortness of breath 20days
Which is type -2. Which is insidious in onset and gradually progressive in nature and which is aggrevated by walking and relieved on lying down.
History of past illness:
No similar complaints in past .
Known case of diabetic mellitus type -2 since 10 years.
Not known case of hypertension, tuberculosis, epilepsy, asthma, cardiovascular disease, chronic kidney failure.
Family history:
No similar complaints.
Personal history:
Diet: mixed
Appetite: Normal
Sleep: adequate
Bowel and Bladder movements: regular and normal
Addictions: No addiction
Allergies : absent
General examination:
Patient appears conscious, coherent, cooperative and moderately built and moderately nourished.
Pallor( lower palpable conjunctiva) : No
Icterus( sclera) : No
Cyanosis: No
Clubbing: No
Lymphadenopathy: No
Oedema: pitting type of oedema
PROVISIONAL DIAGNOSIS:
Pedal edema
Q/ A
1) What is the reason for edema of legs?
2)how to get rid of pedal edema ?
3)Is there any other complications with these pedal edema?
4)what diet should I follow in these situation..?.
