A 65 yr old female presented with itching

 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 box is welcome.”

This is a case of 65yr old female came from nlg homemaker by occupation came with 

Cheif complaints of itching since  5yrs

Hopi 

Patient was apparently asymptomatic 5yrs ago then she developed itching over the left leg below the knee (she noticed hyperpigmented patch ) intially it was small later it covered  most of the anterior surface of the leg 

Since 1month she is experiencing more itching 5yrs ago she went to the hospital where they prescribed medicine but didn't subside 

2-3months ago she developed hyperpigmented patch over the back of the lower abdomen and groin

She always scratch her lesion for relief which cause minimal bleeding

And she put water on her lesion for relief 

There is history of photosensitivity 

Past history

Not a k/c/o diabetes, hypertension

No history of blood transfusion.

Personal history

 .

Appetite -normal 

Diet-mixed 

Sleep -adequate 

Bowel and bladder movements -regularGeneral examination


Pallor:absent

Icterus:absent

Clubbing: absent 

Cyanosis: absent

Lymphadenopathy: absent 

Edema: absent 


Vitals

Temp: afebrile on time of examinatio

BP 120/80mm hg

Heart rate 90 bpm

Resp Rate 14 /min 

Respiratory examination

Inspection: Chest bilaterally symmetrical, all quadrants

moves equally with respiration

Palpation: Trachea central, chest expansion normal

Percussion: Resonance

Ascultation: B/l equal air entry

NVBS

CVS examination

Inspection:Apical impulse visible 

Palpation :Apical impulse felt at 5th intercostal space 1cm medial to midclavicular line  

Ascultation: S1 S2 are heard No murmur 

Abdominal examination:

Soft ,non tender

 Shape of the Abdomen: distended

Umbilicus -inverted

Bowel sounds are heard

No organomegaly 

CNS examination:

HIGHER MENTAL FUNCTIONS- 

Normal

Memory intact

CRANIAL NERVES :Normal

SENSORY EXAMINATION

Normal sensations felt in all dermatomes

MOTOR EXAMINATION

Normal tone in upper and lower limb

Normal power in upper and lower limb

Normal gait

REFLEXES

Normal, brisk reflexes elicited- biceps, triceps, knee and ankle reflexes elicited

CEREBELLAR FUNCTION

Normal function

No meningeal signs were elicited







Diagnosis:Taenia corporis
























Comments

Post a Comment

Popular posts from this blog

INTERNSHIP LEARNING AND PROCEDURES PERFORMED

Image
 This is sathwika of 2k18 batch posted in General medicine department as an intern. My general medicine posting is from November 1 to December 31 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 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-centred online learning portfolio and your valuable inputs on the 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 a diagnosis and treatment plan. In icu: -Taken abg sample -Procedures don
Read more

83 yr old male Cap?

Image
 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 case of 83yr old male came with complaints of cough with sputum since 4 days,breathlessness since 4 days. Patient was apparently asymptomatic 4days back then he developed  cough which was insidious in onset, gradually progessive associated with sputum which was white in colour ,copious  amount. Fever since 4 days,high grade, associated with chills and rigors Breathlessness since 4 days which was insidious in onset , gradually progressive from grade 2 to grade 4 No h/o chest pain, orthopnea,pnd, palpitations,pnd PAST HISTORY: Patient is not a known case of Hypertension, Diabetes mellitus, TB, Epil
Read more

67 yr old male with diabetic foot and heart failure

Image
 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.   Case history of 67 yr old male K/c/o diabetes since 13years Patient presented to surgery OPD on 1-11-23 with diabetic foot(c/o: blackish discoloration of 2nd and 3rd toe since 20 days) , before coming to kamineni he went to local rmp where first aid was done then he came to  kamineni where he had amputation of 2nd and 3rd toe of Right leg on 1-11-23 1-11-23 to 11-11-23 ( dressings were done) On 11-11-23 he developed shortnes of breath,chest pain  (trop-i was 1080, diagnosed as NSTEMI ,for which patient went to the KHLon 12-11-23 where angiogram was done ( shown-lcx and rca blockade) , they are unable  to
Read more