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GM Case-4

GM case-4 Case scenario..  Hi,I am K.Sathpriya,3rd BDS student.This is an online elog book to discuss our patients health data after taking his consent.This also reflects my patient centered online learning.                      Case History  CHIEF COMPLAINT- Shortness of Breath since 1 day Decreased passage of urine since 1 day Abdominal distension since 1 day Pedal edema since 1 day Facial puffiness since 1 day HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 1 day ago,then he developed shortness of breath since yesterday morning,it was sudden onset and aggrevates on walking,on supine position and decreases when he sleeps. Abdominal distension-since yesterday,gradually progressive. He didn't passed urine yesterday morning to evening. Pedal edema since 1 day. Patient had purulent secretions from area just below the scrotum and fever 4 days ago,then he called RMP and took Amoxicillin, paracetamol for 3 days,then fever and pus secretions are decreased. But after 2 days