2.+case+studies

CALCULATE YOUR BODY MASS INDEX []

The body mass index (BMI) is an approximate measure of body fat. It is based on your height and weight. A BMI between 19 and 25 is considered a normal amount of body fat. If someone's BMI is 25 to 29.9, that person is said to be overweight. A person is said to be obese if his or her BMI is 30 or higher. The higher your BMI, the greater your risk for diseases such as diabetes, heart disease, arthritis, and certain cancers.

1in = 2.54 cm 1lb = 2.204 kg

- SURNAME..................... FIRST NAME.......................... AGE.................... SEX...................... MARITAL STATUS............... OCCUPATION......................................... PRESENT COMPLAINT.c/o complaints of ............................chest pain radiating to L arm Started with severe attack of dyspnoea. Pain lasted........ relieved by rest ......... O/E (on examination) General condition: obese, 1.65cm tall, 85 kg ENT (ear, nose, throat)................wax ++ RS (resp syst) CVS P 80/min BP 180/120 HS normal
 * TAKING A HISTORY**

GIS (Gastro-intestinal syst)

GUS (Genito urinary syst)

CNS (Central nervous syst) Fundi normal

IMMEDIATE PAST HISTORY

INVESTIGATIONS Urine for sugar

DIAGNOSIS ?hypertension

MANAGEMENT -

Study the extract from a case history.

The patient was a 50 year old man, head of a small engineering firm, who complained of central chest pain which occurred on exertion and was sometimes accompanied by sweating. He smoked 40 cigarettes a day. The pain had first appeared three months previously and was becoming increasingly frequent. He had noticed some weight gain recently (4 kg) and also complained that his hair had become very dull and lifeless. He felt the cold much more than he used to. He denied any palpitations or ankle oedema.

What questions might a doctor ask the patient in order to obtain the information in order to complete the case history?

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 * SIMULATIONS **

1.

PATIENT


 * Throat pain and mouth sores **, along with other cold and flu symptoms

DOCTOR

Ask appropriate questions. Diagnose and recommend appropriate care.

2. **stomach pain**, nausea and vomiting.

3. **headaches**, which are sometimes accompanied by other symptoms.

4. **Abdominal short-term pain**. Just about everyone has had a "stomachache" at one time or another. But sudden severe abdominal pain, also called acute pain, shouldn't be ignored. It often indicates a serious problem.

5. **Ear problems** - Ear problems are often caused by an infection. However, other conditions may also cause ear pain or discomfort.

6. Permanent or temporary **hair loss** can occur for many reasons. Sometimes, hair loss can be reversed, depending on the cause


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