General Medicine Blog-5

March 20, 2022

This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.

A 62 year old female patient, resident of Aourava, Shop keeper by occupation, came to our hospital with chief complaints of-

1. Stomach pain

2. Fever

3. Lymphedema

Date of admission :- 15/03/2022

History of present illness:-

Patient was apparently asymptomatic 4 days back and developed pain in right Iliac Fossa which was sudden in onset, gradually progressive with no aggrevating and relieving factors.

History of past illness:-

Known a case of Diabetes since 5 years.

Not a known case of hypertension, tb, epilepsy.

10 days ago she had same problem but took treatment from nearby R.M.P.

Personal history:-

Patient has normal eating habit with mixed diet.

Takes toddy occasionally.

Daily routine:-

Patient used to wake up at 6.00AM , takes breakfast in between 8.00AM-9.00AM. Then she goes to her shop, and takes rice in between 1.00PM-2.00PM and dinner at 8.00PM and goes to bed by 10.00PM.

Family history:-

No significant family history.

General examination:-

Patient is conscious, coherent, cooperative and well oriented to time, place and person.

No pallor

No icterus

No clubbing

Lymphedema is present

Vitals:-

Temperature-101.2 F

Pulse rate-120 bpm

RR-20 cpm