General medicine elog
October 22 ,2021 GM CASE I. AKHILA Roll no-158 Below is an E-log describing patient centered data approach and discussion regarding patient de- identified health data. CHIEF COMPLAINTS A 30 yrs old male patient came to casuality with chief complaints of fever since 7days ,shortness of breath,cough,cold and myalgia HITORY OF PRESENTING ILLNESS - ---fever since 7days ---shortness of breath ---cough,cold myalgia PAST HISTORY -- -no known past history of diabetes, hypertension,asthma, epilepsy PERSONAL HISTORY: H/o tobacco and alcohol consumption Not a known case of DM VITALS Patient was C/C/C PR : 98BPM. RR : 18 CPM BP : 90/70 mm of Hg. Spo2 : 98 % at RA. GENERAL EXAMINATION- Patient is thin built and malnourished No pallor, icterus, cyanosis, lymphadenopathy, Clubbing PROVISIONAL DIAGNOSIS The patient may have had covid before Currently t...