Chief complaints:
A 78 year old male came with chief complaints of:
- no passage of urine from morning 
- swelling in the left hand and right leg 
HOPI:
Patient was apparently asymptomatic 1 month back when he started noticing swelling in the left ankle and gradually progressed covering the whole leg in 6 days. 
He was taken to Suryapet Hospital where they referred to Gandhi Hospital but the patient's attender did not wanted to stay there so they took him to a private hospital. 
Surgical dressing was done in view of Necrotizing fascites and patient was asked to review after 10 days. Dressing was done again and surgery was suggested. 
- From today morning the patient is complaining of no urine output and swelling in the right leg and left hand. He went to some hospital where they kept Foley's catheter but it was not properly kept . 
So patient came to our hospital with complain of Anuria since morning and swelling in the right leg ams left hand. 
PAST HISTORY
3 years back he had similar complain for which he was treated in some private hospital. 
Not k/c/o DM/HTN/Asthma/TB/CAD
PERSONAL HISTORY 
Diet : mixed
Appetite : normal 
Micturition: decreased since 2 years ( complain of burning micturition when exposed to sun) 
Bowel : constipation since 2 years
Sleep: decreased since 1 month due to pain
Habits : 
Smoking - 2 chutta/day from last 15 years 
Toddy - 1/2 litre per day from 15 years 
GENERAL EXAMINATION:



05/10/22
05/10/22
05/10/2022

05/10/22

05/10/22





Comments

Post a Comment

Popular posts from this blog

A 42 Year old male with Altered Sensorium

Image
August 16,2022 Chief Complain : A 42 year old male was brought to casuality in a state of altered sensorium with history of fever since 10 days , vomiting since 10 days , generalised weakness and drowsiness since 10 days. HOPI : Patient was asymptomatic 1.5 years ago and then developed involuntary movements of upper limb and lower limb associated with uprollong of eyes and for which he was taken to alocal hospital and was diagnosed to be having alcoholic encephalopathy and dyseloctrolytemia for which he was treated conservatively and was discharged in a hemodynamically stable condition.  From then he was asymptomatic until 10 days ago , when he developed fever which is of low grade and relieved on medication and developed generalised weakness and vomiting 4-5 episodes in a day and the content are food particles and non- bilious and also associated with nausea. C/O generalised weakness and drowsiness since 10 days. With above complains patient visited multiple hospitals and received sym
Read more

GENERAL MEDICINE E-lOG

Image
31 YEAR OLD MALE WITH POST RENAL TRANSPLANTATION ARUSHI KUMARI 151    This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.   Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.   This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment . A 31 year old male , K/C/O CKD stage 5 with renal transplantation done came for regular check up . History of Presenting Illness -   Patient was apparently asymptomatic 5 years back . * Sequence of events  - In 2017 , patient started feeling generalised weakness along with blood in vomiting for which he consulted local doctor .  - The doctor asked for CBC which showed he is anaemic . - Till 2018 he and on and off
Read more

Final Practical Short Case

Image
Final Practical Short case  Arushi kumari Roll no. 151  Hall ticket no. 1701006012 Mbbs 9th Sem 07/06/2022 This is online E log book to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patient’s problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome . 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 diagnosis and treatment plan. 71 year old male with breathlessness Chief complaints- A 71 year old male ,Mason by occupation came to the ge
Read more