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GM CASE -04

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31 October 2023 Hii this is E.Sushmasahithi,3rdBDS student.This is an online eblog book to discuss our patients health data after taking his consent . This is reflects my patient centered online learning portfolios Chief Complaint :- A 54 years old man come to OPD with cheif complaint of abdomin pain and discomfort since 2 months History of present illness:- Paitent was aparently asymptomatic before 2 months back.. Now he developed Abdominal bloating since 2 months..  Which is aggrevating on food intake Relieving on medication..  Belching present No regurgitation..  Shortness of breath which is of grade 3..since 2 months Aggrevating on working And after bloating of abdomen Relieving on sleep.. Negative history:- No chest pain, palpations, orthopenia, decrease in urine out put..  History of Trauma to left 8th rib while he doing routine labour work and continuous pain in left chest side which is of dragging type of pain..  Aggrevating on movents and deep inspiration..  No history of feve