General Medicine E log 6
A 70 year old patient presents with shortness of breath and non productive cough since past 1 week Hi, I am Humera Firdous of 3rd semester .This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s consent. This also reflects our patient centered online learning portfolio. The patient’s consent was taken verbally prior to history taking and examination of her condition. CHIEF COMPLAINT: A 70 year old patient who was a farmer by occupation came to the OPD 3 days ago(i.e. on 24th dec’22)with complaints of breathlessness, fever and dry cough. HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic 1 week ago.Then he experienced shortness of breath which was associated with fever and dry cough.SOB is insidious in onset, present during rest and is more prevalent during night.SOB is generally experienced after walking a short distance.The patient also complained that the breathlessness is increased by lying down sugge