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Showing posts from October, 2022

75 year female came to OPD with sob

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Name : Vana Mounika Roll no : 140 Chief complaints  75 year old female came with chief complaints of  -Shortness of breath since 3days (grade 4) MMRC -Orthopnoea since 3 days HISTORY OF PRESENT ILLNESS 70 year old female, resident of chandanapally. Patient was apparently asymptomatic 10days back.Then developped Shortness of breath(grade2)-which progresses to (grade4)-3days back. Patient also have orthopnoea since 3days She is developping fever(low grade) on and off since 1 year and subsides on taking medication. Poor stream of urine since morning Nausea since morning No paroxysmal nocturnal dyspnea  No h/o weight loss No h/o lower abdominal pain,bleeding pervaginum PAST HISTORY 15 years back she developped psoriasis in nails (UL) later which had spread to overall body within 5years. For 3 years she used Allopathy medicines, but she was not satisfied. Then she went to homeocare hospital and started on medication.After using medication, it subsided in few areas and even now she is on med