CASES IN GENERAL MEDICINE

GM answer sheet

 A 22 yr old female who is a student came with complaints of generalized weakness and easy fatiguability since 2 months  History of Presenting illness Pt was apparently asymptomatic 5 years back then she started to have desire to eat non edible material and went to the hospital and was diagnosed with Anemia (Hb 4gm/dl) and 2 units of PRBC transfusion was done Now since 2 months she is complaining of easy fatiguability with generalized weakness  C/o SOB(grade ll-III) insidious in onset, gradually progressive to grade III,c/o exertional dyspnea  No c/o chest pain, palpitations, orthopnea,pnd  No c/o fever,loose stools, vomitings PAST HISTORY H/o similar complaints in the past H/o two PRBC transfusion N/k/c/o diabetes HTN TB Asthma Epilepsy thyroid disorders  PERSONAL HISTORY Diet Mixed Appetite normal Sleep adequate Bowel and bladder regular Addictions No  Daily routine  Pt wakes up around 7 am takes breakfast and goes for coaching institute and comes back at 6 am and takes dinner at

"This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed 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.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment 33 year old male who is auto driver by occupation came with chief complaints of  Pus discharge from upper left of back teeth region HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 1 and 1/2 month back when he noticed  thick yellowish  copious foul smelling pus coming from back of the teeth on left side which  is was insidious in onset and with no blood tinge which aggregates on pressing left cheek and side to side jaw movements and got relieved on taking medica