19 year old female came with c/o difficulty in breathing and chest pain
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"
19 year old female came with c/o difficulty in breathing and chest pain since 1 hour
History:
2 years ago patient was diagnosed with hyperthyroidism using Tab .Carbimazole 20 mg po/od and propranolol on and off whenever she had palpitations.
Jan 2021 - H/O COVID
Jan 2022 - H/O COVID +, was diagnosed with mitral valve prolapse and was put on imedication which is unknown and Tab carbimazole dose was increased to 20mg bd due to altered TFT report.
Patient was apparently asymptomatic till 7pm today , patient developed chest pain , difficulty in breathing, palpitations which lasted for 10 mins but chest pain continued so she was brought to our hospital.
Not a k/c/o diabetes mellitus, hypertension,cad
Personal history:
Appetite-normal
Sleep -adequate
Bowel and bladder habits - regular
No addictions
General examination :
Patient is conscious, coherent and cooperative moderately built and moderately nourished .
Vitals :
Temp - 98.1 degree f
Pr -113 BPM
Bp -160/110 mmHg
Spo2 -98% @ra
GRBS - 151 mg/dl
Systemic examination :
CVS -S1 S2 +
Rs - BAE + ,nvbs heard
P/A -soft ,non tender , no organomegaly
Bowel sounds +
CNS - nfnd
Investigations :