GENERAL MEDICINE E-LOG
32 CH SRILEKHA, 5th sem This elog depicts the patient -centered approach to learning . This is an online E log book recorded to discuss and comprehend our patients de-identified health data shared , after taking his /her /guardians signed informed consent . This elog also reflects patients centered learning portfolio. Date of admission : 27/07/2022 CASE A 46 year old male patient, shepherd by occupation, resident of nalgonda came with chief complaints of 1. Shortness of breath since 6years 2.Cough since 4years which is on and off 3. Pedal oedema and facial puffiness since 3years. 4. Abdominal distension since 3years. 5. Hard stools since 10 days. HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 6years ago. Then he developed shortness of breath which was initially grade 1 and gradually progressed to grade 2 . Cough since 4 years which is productive with yellow colored sputum. Then he developed abdominal distension , pedal oedema and facial puffiness 3years back. For whi