75 year old male with Bilateral Osteoarthritis

Hi, I’m Hruthik, 3rd sem medical student. This is an online E Log book recorded to discuss and comprehend our patient's  de-identified health data shared, AFTER taking his consent.

75 year old Male farmer from Mothukuru was admitted into the hospital on 27-06-2022. 

Chief complaints:
75 year old male was admitted into the hospital with cheif complaints of weakness and pain in his lower back since 3 months and swelling of both his legs since one month.He was unable to move or lift both his legs. 
Patient also complained of knee joint pain and burning micturition. 

History of present illness:
Patient was asymptomatic 3 months ago then he developed lower back pain( gradually progressive), radiating to his lower limbs associated with numbness and bilateral non pitting type of edema.
He faced difficulty in walking because of the back pain but the pain relieved on rest. 
SOB absent 
No history of fever 
No history of Vomitings
No history of diabetes 
No history of HTN.
No history of allergies 

Past history:
 Nil

Family history:
Not relevant

Personal history:
Diet : Mixed
Appetite : normal
Sleep: Adequate 
Addictions :  Alcoholic, stopped 3 months ago , Beedi smoker
Bowel/ bladder: Burning micturition, regular bowel movements 
Allergies: nil

General examination:
Consious coherent cooperative 
Moderately built
Moderately nourished 
Pallor present 
 No Icterus  
No Cyanosis 
No clubbing of finger 
Pedal edema present

Reports :
https://drive.google.com/uc?export=view&id=16e3yapU02HKAUQktQcHRJtCF3njvSQfIhttps://drive.google.com/uc?export=view&id=1Ybar6MNGitjG5YcoHTJ7m4VieJwANSwwhttps://drive.google.com/uc?export=view&id=1-yqZh7iKp044P73mTO0gBg4vVel0bksu

Clinical findings: 
https://drive.google.com/uc?export=view&id=16xbX3JKmCHx7rwDLH-b0xZ-I1VIFH5Pe
https://drive.google.com/uc?export=view&id=17Z-iCWyF5E7QBL5fiF7imfHLJLZzs-Xk

Comments

Post a Comment

Popular posts from this blog

E-log 2. A 26 year old patient with Pyelonephritis

Image
 June-08-2022   Hi , I am Shreshta Reddy I, 3rd semester student.  This is an online elog book to discuss our patients health data after taking her consent.  This also reflects my patient centered online learning portfolio. A 26 year old housewife,resident of Nalgonda was admitted into the hospital on Thursday ( Dt.02-06-22) with cheif complaints of back pain since 15 days and fever since 5 days. HISTORY OF PRESENT ILLNESSES:  Patient was asymptomatic 6 days ago and then she suffered from fever. She consulted an rmp, was given some injections but the fever still persisted. When visited a local hospital she was said her wbc count is increased and was asked to consult a better doctor. She passed red urine 6 days ago Fever - since 5 days before admission  Chills, rigors No cold , no cough Swollen face from 2 days No SOB Vomitings : 4 days ago - 4 times (food)  PAST HISTORY: Patient underwent a heart surgery at the age of 10. She delivered an underweight baby (2kg 300g) 7 years ago ( caesa
Read more

60 year old female patient with Viral Pyrexia.

Image
Hi,I am Shreshta,3 rd semester student.This is an online elog book to discuss our patient health data after taking her consent.this also reflect my patient centered online learning portfolio. Cheif complaints: A 60 year old house wife, resident of Nakirekal, Nalgonda was admitted into the hospital on 18-06-22 with cheif complaints of fever and Vomitings since 4 days History of present illness : Patient was assymptomatic 7 days back, then she passed black stools. Vomitings since 4 days( 3 episodes per day)  Fever :   From 4 days (on and off)                High grade                Chills and rigors                No cough no cold Past history:  diabetic since 2 years  No history of HTN/TB Family history: Not relevant Personal history: Diet              : Mixed Sleep.          : Adequate ; decreased from 4 days  Appetite.      : reduced  Bowel/ bladder : burning micturition ; decreased bowels and urine output since 4 days Vitals: Temp: 103.8F Pulse: 118/min Resp : 20 cycles/min Bp : 150
Read more

45 year old female with bilateral pedal edema

Image
Hi, I’m Shreshta, 3rd sem medical student. This is an online E Log book recorded to discuss and comprehend our patient's  de-identified health data shared, AFTER taking her consent. A 45 year old female daily wage (cotton picker) worker from Suryapeta was admitted into the hospital on 30-06-22(Thursday). Cheif Complaints: Patient was asymptomatic 20 days ago, then she developed swelling in  both her legs, for which she consulted a local RMP and was prescribed few tablets. The swelling decreased but after 10 days, the swelling increased again. She was feeling pain sensation when touched and after walking for long distances. She has pain in the right hypochondrium while sitting and neck region while doing movements since 10 days History of present illness: Bilateral pedal edema(pitting type) since 20 days No history of fever No history of Vomitings Past history: Nil Family history:  Not relevant Personal history: Diet : mixed Appetite: reduced  Sleep: adequate  Bladder/ bowel : regul
Read more