General Medicine Case Study Leprosy

30 June 2022

B.Divya
Roll no 23, 5 th sem.


A 75 yr old male patient who is resident of nalgonda labourer by occupation came to our hospital for eye surgery 

CHIEF COMPLAINTS:
Loss of vision-left eye
Itching all over th body

HISTORY OF PRESENT ILLNESS:

 Patient has loss of vision in his left eye since one yr..he has itching all over the body since two months.

HISTORY OF PAST ILLNESS:
Patient was apparently asymptomatic 10 years back.Later,he developed deformities in his lower limbs(resorption and clawing of all the toes).he also lost all his senses(pain ,touch, temperature, vibration).he had hyperflexion of DIPJ nd hyperextension of PIPJ since 2-3 months
.There is burning sensation allover his body.

FAMILY HISTORY:
    No history of DM HTN EPILEPSY asthma cardiovascular disease in his family

PERSONAL HISTORY:
 Mixed diet
Married
Normal bowel and bladder movements
Abnormal sleep patterns
No addictions

GENERAL EXAMINATION:
PHYSICAL EXAMINATION:
No pallor 
No icterus
No cyanosis
No lymphadenopathy
No pedal edema
Wasting of muscles 

VITALS:
Temp: afebrile 
PR:70
BP:130/70
RR:14
GRBS:100 %

SYSTEMIC EXAMINATION:
CVS:
S1 and S2 heard
No thrills 
No murmurs

RESPIRATORY SYSTEM:
No dyspnoea
No wheeze
Trachea is central
Breath sounds are vesicular

ABDOMEN:
No tenderness
No palpable abdominal mass
No spleenomegaly
No hepatosplenomegaly
No bruits
Bowel sounds:NAD

CNS:
Conscious coherent
Cooperative
Speech is normal
Sensory system:
Loss of pain,touch temperature vibration
Loss of sensations over both lower limbs and fore arms
Motor system:
Reflexes lost

INVESTIGATIONS:



















Comments

Post a Comment

Popular posts from this blog

camp case 4/5/2024.

Image
Camp case 80 yr old male  CHEIF COMPLAINTS: Came with c/o giddiness since 15 days. HOPI: Pt was apparently asymptomatic 15 days back and then had giddiness which was  episodic daily once ,mrng before lunch a/w blurring of vision during that episode and relieves after taking food. H/o tingling and numbness of lower limbs since 10 yrs extending from tip of toes to shin of tibia  H/o burning sensation of feet since 5 yrs  H/o chest pain since 4 days , pricking type ,on and off ,no precipitating factors H/o loose stools for one day which was one week ago and subsided on medication. No h/o polyuria polydypsia  No h/o decreased urine,output burning micturition  No h/o fever,pedal edema ,facial puffiness  No h/o constipation, No h/o similar complaints at night times No h/o sob , palpitations  PAST HISTORY  K/c/o Htn on tab telma am -40/5 K/c/o dm on INJ MIXTARD 20UBBF ,15U BD  K/C/O CKD SINCE 13 yrs  K/C/O HFPEF 2° to CAD since 1 month  H/O stable angina 1 month ago  No other comorbidities  P
Read more

23,Divya.B

 General Medicine blended assessment. Name:B.Divya Roll no: 23 Batch:2019(3rd semester). Question 1) Pulmonology : Review:- https://yrahul190.blogspot.com/?m=1 Case1:  https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html        The case was diagnosed as COPD associated with right heart failure and bronchiectasis.The patient is presented with shortness of breath, generalized weakness, pulmonary odema.In this case due to obstructive lung disorder,the workload on right heart leading to right heart failure. All the examination was done thoroughly and with proper investigations. This is very good presentation with all the images required for proper diagnosis and the treatment of all symptoms was also given properly. Neurology Review:-https://157siddhanth.blogspot.com/ Case2:https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html       The case was diagnosed as wernickes encephalopathy secondary to chronic alcohol dependence along w
Read more

General Medicine case study .

Image
B.Divya 5th sem Roll no 23 A male pt aged 50yrs a resident of Miryalguda  farmer by occupation was brought  to OPD by his son in law. Cheif complaints           Shortness of breath            Burning micturition           Headache            Throat pain  History of present illness   H/o shortness of breath since 1 yr H/o headache since 20days( occipital region) H/o neck pain since 1 yr. H/o throat pain since 4days(pricking type) History of past illness No H/o DM,Tb, Epilepsy,CKD, cardiovascular accidents. Cerebrovascular accident 25 yrs back. H/o previous medication (joint pains, headache,neck pain, shortness of breath) No H/o previous hospitalization. Family History His mother has Sob Personal History Married Occupation-farmer Appetite-normal Diet-mixed Sleeping habits:He has sleep alterations due to painsand discomfort. Bowel- regular Micturition- burning No H/o allergy Addictions- he smokes but stopped 2 yrs back.He smokes 4-5 cigerettes per day.He smoked for 40 yrs. Physical examin
Read more