General medicine elog

 14 October, 2023

12yr old male patient with chief complaints of dry cough.

Hi ,I am Ananya Nayak, 5th sem medical student. This is an online elog book to discuss our patient’s health data after taking his consent.This also reflects my patient centered online learning portfolio.

 A 12 yr old male came to the OPD with chief complaints of dry cough since 15 days.


HISTORY OF PRESENTING ILLNESS-


The patient was apparently asymptomatic 15 days back. Then he developed severe dry cough on exposure to dust which was associated with shortness of breath.The cough aggrevated in the night time.


It was not associated with fever,vomiting and headache.


PAST HISTORY-

He had similar episodes since 2-3yrs due to unknown allergy.

N/K/C/O DM,TB,HTN,EPILEPSY. 


PERSONAL HISTORY-

Appetite-Normal

Sleep-adequate 

Bowel and bladder movements-Regular

Diet-mixed 


FAMILY HISTORY-irrelevant


GENERAL EXAMINATION-

Patient was C/C/C and moderately built.

No pallor 

No icterus 

No cyanosis 

No lymphadenopathy 

No pedal edema

No clubbing









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