E-LOG GENERAL MEDICINE


Hi, This is Likitha, eighth semester medical student. This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from  patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them.

A 55 year old male with SOB and lower back pain

Chief complaints :
 
A 55 year old male came to opd with SOB and lower back pain , laborer by occupation residing at Halaya

• SOB since 10 days 

• pain at lower back since 10days 

History of present illness :

The patient was apparently asymptomatic 1month back , then he developed SOB which is insidious onset , grade 2 (NYHA), gradually progressed orthopnea, 

•There’s decreased urine output since 1month - thin stream, poor flow, increased frequency , hesitancy sensations and burning micturition 

• Pain at the lower back is dull aching type, non radiating and not associated with micturition 

History of Past illness :

The patient is a known diabetic since past 10 years 
Hypertension since 3months 
Renal failure since 5 months 
Hypoglycemic seizures - 5 months back 

Treatment history :

Diabetes - 20y inj HAI , NPH
Hypertension- Tab. Amlong 10mg 

Personal history :

Appetite - Lost
Diet - Veg since 5months 
Bowels - regular 
Micturition - abnormal 
 No allergies 
Habits - alcohol - occasional 
              Tobacco - smoking chutta 3/day 

Family history :
The patient’s mother was a diabetic and hypertension patient 

Physical examination : 

- No - pallor /icterus / cyanosis / lymphadenopathy / clubbing 




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