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