60 year old female with history of SOB
N.Deepa, 8th semester Roll no. 93 I've been given this case to solve in an attempt to understand the topic of "Patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan. Following is the view of my case : (Admitted on 12/05/21 , 11 am) CASE : 60 year old female came with the chief complaints of SOB since 2 days, cough since 2 days and giddiness since morning 6 am. HISTORY OF PRESENT ILLNESS : Patient was apparently asymptomatic 2 days back. Then she developed SOB which is of sudden in onset and progressive in nature. SOB is not associated with chest pain, palpitations, sweating, nausea, vomiting, blackouts, blurring of vision, Trauma to chest. She also has cough since 2 days. It is associated with sputum in small quantity. Patient attenders d...