General Medicine Case Discussion

April 17th Case scenario.......

Hi, I am M.Yamini , 5th sem medical student.This is an online elog book to discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio.

CASE SHEET:The 60 year old female,housewife,came from nijalapalli to  general medicine opd

Chief complaints:
Dizziness, since 2 days with 1 episode of vomiting 2 days ago 

HISTORY OF PRESENT ILLNESS:
The patient was apparently asymptomatic  3 days back,suddenly she felt dizziness in the evening.No association factors,sudden  in onset 
Vomiting 2 days back
Non projectile,non bilious.
Contents: food
PAST HISTORY :
A known case of hypertension (since 4years, Medication: Amlodipine
Right Nephrectomy was done 2 months back at Kim's , narketpally.
PERSONAL HISTORY:
Diet:Mixed previously,but present only consumes egg.
Appetite: decreased
Sleep : Adequate 
Bowel& Bladder movement s: Regular
No food & drug allergies
Addictions: Early she consumes betal leaf, but she stopped 6 months ago
Family history:Not significant.
Patient was not cooperative with us for doing general examination 

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