75 year old male with bilateral knee joint pain and numbness

 


Hi, this is Shreshta Reddy Adla, a medical student currently studying in KIMS Narketpally. This page is a compilation of cases taken up during my medical school years, with an intent to correlate theoretical concepts of medicine to practical aspects of it. These E-logs have been created after taking consent from the patient and the patient's advocate. So welcome, and I encourage you to immerse yourselves into these interesting cases.


NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.

This is the case of a 75 year-old male, resident of Revuru and Farmer by occupation. The following history was taken with the patient in person. The patient was explained about confidentiality and written consent was taken to create the following case report.

This case report aims to record the patient's journey.

CHIEF COMPLAINTS :

Knee joint pain  and numbness of both the legs since 2 months 

HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 2 months ago then developed 

Bilateral knee joint pain: 

which was insidious on onset 

gradually progressive in nature 

The pain was of dragging type

Aggravated on walking 

Releives on sitting and rest 

 Bilateral numbness of foot :

Continuous in nature

Relives on medication 

No history of fever, morning stiffness 

PAST HISTORY 

HTN since 3 years

N/k/o diabetes, TB, Asthma, Epilepsy.

No previous history of any surgeries.

FAMILY HISTORY 

Not relevant 

PERSONAL HISTORY 

Diet mixed

Appetite normal 

Sleep adequate 

No addictions 

No allergies 

Regulat Bowel bladder movements

GENERAL EXAMINATION :

Patent is conscious coherent cooperative and was examined in a well ventilated and well lit room with consent 

No pallor

No icterus 

No cyanosis 

No clubbing of fingers 

No lymphadenopathy 

No edema

VITALS:

Temperature Afebrile 

BP 130/80

Pulse rate 93 beats per minute 

Respiratory rate 15 breaths per minute 

LOCAL EXAMINATION :

INSPECTION: 

No scars, sinuses, pigmentation, erythema, deformities. 

Swelling on the knee joints 

PALPITATION :

No local rise of temperature 

No tenderness 

DAILY ROUTINE :

Patient wakes up at 7 am in the morning, have his breakfast and go for farming. Comes back for lunch and will take a nap till evening. He will have his dinner and sleep 10 pm






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