Gen med blog

 Hie,I am Sathwika  6 th semester student.This is an online elog book to discuss our patient health data after taking his consent.this also reflect my patient centered online learning portfoli      

 A 21 year old patient residency of Narketpalli came to general opd with Cheif  complaints of : fever with chills since 4 days ,headache and general weakness

History of presenting illness : patient was apparently asymptomatic since 4 days . Then she developed fever associated with chills. Fever developed sudden in onset and intermittently associated with generalised weakness.fever aggravated during day time and not relived by taking medication  

Past history: patient having left scapular pain since one month which is relieved on medication.No history of numbness and tingling 

No history of blood transfusion 

No history of trauma 

Not a known case of diabetes mellitus, tuberculosis, epilepsy and hypertension 

Personal history: patient having less apetite Since 4 days . Bowel movement are regular . Sleep is disturbed and she is having yellow coloured urine since 4 days 

She doesn’t have any food allergies and no addictions 

Drug history : she is using paracetamol since 4 days for twice  a day for 12 hourly one tablet 

General examination: patient was coherent, cooperative and well oriented 

No pallor 

No icterus

No clubbing of fingers