GENERAL MEDICINE-ELOG-14

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 33 old female patient came with the cheif complaints of Headache since 2 days

HOPI
patient was apparently asymptomatic 5 yrs back the she developed cervical pain which was radiatiing to occipital region of head,the pain was,insidious in onset,continues sharp,radiation to the right arm,aggravated on ,household chores,lifting weights,b nding,travelling,relived on medication
Pain is associated with tingling nd numbness
Photophobia positive
Chonophobia postive
K/C/O Hypothyroidism since 6 years
On thyronorm 75mcg
NEGATIVE HISTORY
no history of dizziness,nausea,vomiting,trauma,fever
PAST HISTORY:
mild canal stenosis detected in MRI
No history of previous surgeries
N/K/C/O HTN,DM,TB,asthma,epilepsy
TREATMENT:
tab. naproxen 250mg
PERSONAL HISTORY:
diet-mixed
Appetite -normal
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











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