A 61 year old man with involuntary movements, fever and shortness of breath.

Hi, I am Souraja Acharya , 3rd Sem Medical Student. This is an online e-log book to discuss our patient's health data shared after taking his/her/guardian's consent . This also reflects patient centered care and online learning portfolio.

Chief complaints

A 61 year old man who is a resident of Ramannapet presented to the OPD complaining of shortness of breath, fever, dry cough since 3 days,and involuntary movements in the right hand since 3 years. He is also experiencing a burning sensation in the chest. 

History of present illness

Patient was asymptomatic few months back. Then he developed  which was relieved on medication. Since 3 days, he has burning sensation in  and difficulty in breathing in supine position. 

History of past illness

No diabetes
No hypertension
No CAD
no asthma
No syphilis
No epilepsy

Family history

No significant family history

Allergies

No allergies

Personal history

PHYSICAL EXAMINATION

general examination

Conscious
Non coherent
Non cooperative
Well built
Hydrated
Pallor is absent
No icterus
No cyanosis
No clubbing of fingers
No lymphadenopathy
Pedal edema absent


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