PLA BOOK PROJECT DRAFT OPD(August 14-August 19)
14th August 2023-19th August 2023 14th August 2023,Monday [14/08/23, 9:49:03 AM] ~ Rahul: Ip no: 20210209964 A 38 year old female patient came with C/o of swelling in the neck, dysphagia,sweating, weightloss, fearfullness, generalized weakness, K/c/o hashimoto thyroiditis No c/o of orthopnea, pnd, sob No c/o of chestapain palpitations O/E pt is c/c/c Afebrile PR - 60bpm RR - 16cpm Bp - 110/70mmHg No signs of pallor, icterus, cyanosis, clubbing, lymphadenopathy Cvs - S1S2 +, no murmurs RS - BAE+, NVBS Cns - NFND Per abdomen -soft and non tender Advice Symptomatic treatment Daily routine- SHe is farming Patient is a paddy field farmer, She wakes up by 5:30 in the morning, drinks tea, she will do household work (cleaning house) and goes to work by 8:00 am. SHe does farming till 12-12:30 pm and has lunch. He rests for 45mins - 1 hour and again gets back to work. SHe will reach home by 5:00pm and watches television and goes for a walk with his friends till 8:00pm, comes back and