General Medicine E log 7

January 3,2023

A 35 year old female with complaints of painful lesions on her body,fever,burning sensation on the lips, difficulty in swallowing since the 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 35 year old female patient who works on a farm land and is a resident of Nakrekal district came to the OPD with complaints of painful lesions on the neck, chest and leg associated with fever since the past 1 week.

HISTORY OF PRESENT ILLNESS:
The patient was apparently asymptomatic 1 week ago.Then she developed painful lesions on the neck,chest,arms and legs which was associated with fever

The fever was insidious in onset.More during the day time.The fever was gradually reducing with intake of medicine and was recurring after a few hours.This was the chief complaint which bought the patient to the hospital.

The patient also complained of difficulty in swallowing and also burning sensation in the mouth on eating food.

HISTORY OF PAST ILLNESS:


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