GENERAL MEDICINE E-LOG-11
HI,Iam Harichandana of 6thsem medical student.This is an online elog book to discuss our patients health data after taking his consent.This also reflects patient centred online learning portfolio
A 50 yr old female patient came with cheif complaints of fever,loss of appetite,burning sensation since 3 days
HOPI
Patient was apparently asymptomatic 3 days back then she developed fever which was intermittent, low grade fever,not assosiated with chills nd rigor,no diurnal variation which was relieved on medication, assosiated with reduced apetite
Chest burning sensation associated with belching regurgitation of food aggravated after food intake
Nausea is present
No history of chest pain,sob
Past history:
Similar complaints present two years back
PERSONAL HISTORY:
diet-mixed
Appetite -reduced
Sleep-adequate
Bowel nd bladder normal
No additions
FAMILY HISTORY:
no relevant family history
GENERAL EXAMINATION:
Patient was conscious coherent well oriented to time place and person
No pallor,icterus,clubbing,cyanosis, lymphadenopathy,
Temperature-afebrile
Pulse-70beats /min