48 year old female with heart failure







 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. 


Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. 


This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome.

Here is a case i have seen:A 48 year old female came with c/o Sob since 7 days grade 2 ,exertional + pain in the left infrascapular region since 7 days ,H/o weight loss 

Patient was apparently asymptomatic 7 days back then developed sob which was gradual progressive grade 2 relieved with medication and patient also had a pain in the left infrascapular region 7 days back which was releived with medication 

No h/o fever ,loose stools ,burning micturition 

K/c/o TB since 35 years and used anti tubercular treatment for 6 months

K/c/o DM since 1 month and using medication 

K/c/o HTN since 2 years on tab amlodipine 5 mg

O/E- Pt is conscious coherent coperative 

Vitals bp - 130/90mmhg 

PR - 72bpm

RR -20bpm

Cvs -s1s2 + no murmurs 

Rs -BAE + 

P/A-soft non tender 

Systemic examination 

Cvs 

Inspection-no visible pulsations 

No jvp elevated 

Palpation- apical impulse felt 1/2 inch medial to mid clavicular line 

No palpable thrills

Percussion -all heart borders felt 

Ascltation - s1s2+ 

No murmurs 

Respiratory system -fine crepitations present in both inframammary areas L



  

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