1601006069 short case
I'm a final year medical undergraduate bearing the hall ticket number-1601006069. I've been allotted with this following de-identified case to present on the day of the final practical exam, so I've contacted the patient and took the verbal consent to take the history and to examine the patient. This E log also reflects my patient center’s online learning portfolio and valuable inputs on the comment box are welcome. A 46yr old female, housewife resident of Nalgonda came to the hospital with chief complaints of shortness of breath since 5days History of present illness: She was apparently asymptomatic 5days back then she developed shortness of breath which was insidious in onset, gradually progressive, aggravated on lying down, and relieved on medication. Associated with wheeze , paroxysmal nocturnal dyspnea Anasarca since 5days and cough with expectoration since 5days which is insidious in onset. Past History: K/c/o COPD since 12yrs. General examination: Raised JVP. Res