General medicine elog 2
General medicine elog 2
Hi , I am Anamika Maiti ,3rd semester student. This is an online elog book to discuss our patients health data after taking his consent. This also reflects my patient centered online learning portfolio.A 52 YEAR OLD FEMALE PATIENT CAME WITH COMPLAINTS OF HYPERGLYCEMIA AND SHOULDER PAIN
A 52 female patient , housewife resident of nalgonda came with complaints of
Uncontrolled sugar with Type -2 DM
Known case of tinea corporis
Known case of HTN
B/L parotid enlargement
Generalised weakness
B/L shoulder pain
HISTORY OF PRESENT ILLNESS :
Patient is complaining of uncontrolled sugar with Type -2 DM since 2 months .Patient is diabetic since 8 years.Experiencing high sugar levels since 2 months (usually around 280 - 350 ). Patient was on oral medication but shifted to insulin ( 3 times a day ) since 15 days when she had high sugar levels .
She is Hypertensive since 2 years (bp higher than 140 m mHg ).
Complaining about shoulder pain since 2 months when lifting the shoulder.
Complain of swelling in the feet.Increases when sitting for long hours and relieved on taking rest.
PAST HISTORY:
DM type 2 since 8 years
HTN for 2 years
Not a case of asthma, tb , CAD, surgeries
Was tested covid +ve 2 times ( vaccinated )
PERSONAL HISTORY :
Married and housewife
Diet : mixed
Appetite: normal
Addictions : no
Sleep : normal
Bowels : regular
Micturition : normal
Allergies : no
FAMILY HISTORY : none
GENERAL EXAMINATION:
Patient is conscious, coherent, cooperative.
No pallor
No pallor
No ictreus
No cyanosis
No clubbing
No lymphadenopathy
Vitals:
Vitals:
fever : afibrile
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