GM case 4

April 3,2023

GM case 4

Case scenario....

Hi, this is  M Sharath chand , 3 rd BDS student. This is an online eblog book to discuss our patient's health data after taking his consent. This also reflects my patient centered online learning portfolio.

CASE SHEET:-

A 7 year old female with sever vomiting and loose stools

Chief Complaint:

loose stools for 3days

vomiting for 3 days

Abdominal pain for 3 days 

HISTORY OF PRESENT ILLNESS:

3 Days earlier patient was asymptomatic. Later she developed loose stools and vomiting 3 episodes in a day.

The stools was watery. 

The vomiting contained food particles.

Abdominal pain in lumbar region on and off for 3 days.

PAST HISTORY:-

No similar complaints in the past.

PERSONAL HISTORY:

Occupation: student(2nd grade)

Appetite: lost

Diet: non- vegetarian

Bowel: regular

GENERAL EXAMINTION:-

Pallor : Yes

Icterus: no

Cyanosis: no

Clubbing: no

Lymphadenopathy: no

Edema: no







VITALS:-

Temperature: 96F

Pulse: 72 beats per minute

Respiratory rate: 24 cycles per minute

Blood pressure:80/60 mm/Hg

SPO2: 98%

SYSTEMIC EXAMINATION:-

Cardio Vascular System:

Cardiac sounds: S1, S2 heard

Cardiac Murmur: no

Abdomen: soft

Tenderness: no

No organomegaly

Nervous system: child was nervous



PROVISIONAL DIAGNOSIS:

Dehydration

Questions from patient:-

How much water do I have to consume each day?

How do you treat dehydration?

Popular posts from this blog

Gm case 7

  GM Case 7 Case scenario..... Hi, this is M Sharath chand, 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 32 year old male came with chief complaint of abdominal pain ,fever since 7 days and burning micturition since 3 days. CHIEF COMPLAINT: abdominal pain since 7 days  fever since 7 days  burning micturition since 3 days. HISTORY OF PRESENT ILLNESS: Patient is asymptomatic 7days ago. since 1 week he is suffering from abdominal pain. the pain is pricking type of pain, continuous, aggravated on inspiration. The pain is in left iliac and right iliac region.  fever since 7 days, on and off, high grade , intermittent, associated with chills. Dry cough since 1 day, on and off which is relieved on taking inspiration. Burning sensation during micturition since 3 days, no frequency no urgency. No vomiting, shortness of breath, palpitation, no naus
Read more

GM case 5

Image
April10th ,2023 GM CASE 5 Case scenario.... Hi, this is M Sharath chand,3rd Bds.This is an online eblog book discuss our patient health data after taking his consent.this also reflects my patient centered online learning portfolio. CASESHEET :     62 year old patient with                            severe diabetic foot infection  CHEIFCOMPLAINTS  :   left foot infection with draining fluids  since 1 month 3days HISTORY OF PRESENT ILLNESS: patient was having  type 2 diabetes since 11years. He had fever for a 1week   2months back since then he saw symptoms of swelling of the left leg ankle slowly he developed a small  puncture over that swelling and fluid discharge started slowly since then with this compliant he came to hospital . ASSOCIATED DISEASES : Type ll diabetes mellitus Hypertention  PERSONAL HISTORY:  Appetite : Normal  Diet: Mixed  Bowel and bladder movements: Regular  Addictions : Nil Micturition: normal Known Allergies : nil FAMILY HISTORY:  Patient father is affected  GENER
Read more

GM case 3

Image
GM CASE 3 March 28/03/2023 GM case 3 Case scenario..... Hi, this is M Sharath chand, 3 rd BDS student. This is an online eblog book to discuss our patient's health data after taking his consent. This also reflects my patient centered online learning portfolio. *CASE SHEET: A 60 year male who has been attacked with seizure. *Chief Complaint:-- Patient had seizure 4 days ago. vomiting since 3 days . HISTORY OF PRESENT ILLNESS: Patient was asymptomatic 5 days ago. He had seizure 4 days ago. The attack of seizure was with gap of 3 to 4 hours. He had seizure like activity for 10 minutes. During his seizure his four limbs were rigid. His eyes were uprolling There was no involuntary micturition during his seizure. Frothing from the mouth. The patient murmurs during his sleep this started suddenly after his first seizure. Vomiting contained food particles.  The frequency was 2 to 3 times a day. There was no blood tinged in vomit. PAST HISTORY: Pulmonary tuberculosis 10 years ago(used medic
Read more