Medical Case Write Up

Introduction & Presenting Complaint Mr. P, a 54 year one-time(a) Chinese gentleman, was admitted to the Penang General Hospital on the morning of 22 April 2012, with one day installing acute onset of dyspnoea. fib of Presenting Complaint He started to feel breathlessness a iniquity before after taking a large flashiness of fluid, and the acute symptom resolve after 5 minutes. The next morning, the complaint reappear, withal due to consuming a large volume of water, but this time the symptom increasingly become better after 10 minutes. Feel awkward with the episode, he seeks medical attention. On further questioning, the patient asserts the episode of dyspnoea is relieved by sit down and relaxes, but worsens by fluid intake and walking. He admits can further walk about 10 steps before the dyspnoea become worst. On asking about associated symptoms, the patient claimed to confirm night sweat, which exit occasionally and not specifically pass by during the presenting complain. He also claimed to have an episode of palpitation with occur during the episode of breathlessness, and when asking to tap one finger to the do by to reanimated the bout of palpitation, the rhythm is regular and fast.

Patient also say no to cough, haemoptysis, chest pain, hoarseness, fever, orthopnea, paroxysmal nocturnal dyspnoea, headache, muzzy vision, dysphagia and leg pompousness. Past Medical & Surgical History Mr. P had been diagnosed with hypertension for more than 20 years (he cannot remember the necessitate time), and diabetes mellitus since 20 years ago. The diabetes mellitus seems to affect his kidney, since the patient claimed to be diagnosed with kidney stroke since 2010. Before the diagnosis, he claimed to have a leg swelling and associated with anuria. He is currently on dialysis 3 times per calendar week for the kidney failure. He also diagnosed with hyperlipidemia since 2007, and denied any history of asthma, epilepsy and jaundice. He went under the knife in 2007 for the... If you want to get a full essay, order it on our website: Ordercustompaper.com

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