Skip to main content

55F Diabetes hypertension 6 years, DKA, Fever, Cough since 3 weeks

55F Patient came to opd with  c/o  
1. Fever since 3 weeks
2. Cough since 3 weeks 

Patient was apparently asymptomatic 3 months back then she developed fever, insidious, progressive, no diurnal variation, low grade not associated with chills and rigors.

C/o cough - dry, not associated with sputum, more during the nights and increased in supine position.
No case of burning micturition, decreased urine output.

H/o polyuria and nocturia 

C/o decreased appetite

No C/o SoB/ palpitations/ chest pain/ orthopnea 

Past History:-
K/C/O HTN since 6 yrs, and is on unknown regular medication

K/C/O DM2 since 4 yrs, and is on Tab. Voglibose 0.2mg PO/BD

Personal History: 
Appetite- Normal
Diet- Mixed
Sleep- Adequate
Bladder and Bowel movement- Regular 
Addictions - none

Family History: not significant

GENERAL EXAMINATION:-

The patient was examined in well lit room after taking her consent.

The patient was conscious, coherent and co operative. She is well oriented to time, place and person
No Pallor, Icterus, Cyanosis, Clubbing, Lymphadenopathy. Edema present (Pitting type)

On examination:-
BP- 140/90
Temp- 97.2F
Pulse- 86 BPM
RR- 16
SpO2- 98


Investigations:
13-10-2023
14-10-2023

Montaux test was done-



Comments

Post a Comment

Popular posts from this blog

43F Patient came to opd with c/o Bilateral pedal edema

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.  43F Patient came to opd with  c/o  Bilateral pedal edema since 1 month.  Patient was apparently asymptomatic till 1 month ago then she developed c/o B/L pedal edema (pitting type, extending upto the knee) and chest discomfort (now subsided) now patient has c/o tingling of Rt. Upper limb. Pt has come for regular checkup of HTN& DM Had H/o UTI 1 month ago Numbness in Rt upper limb and Rt lower limb since 1 month. PAST HISTORY:k/c/o Diabetes since 10 yrs and is on Insulin HAI 15U- 20U- 25U. k/c/o hypothyroidism since 6 yrs and is on Tab. Thyroxine 125mg PO/OD k/c/o Hypertension ...
Post a Comment
Read more

ONLINE BLENDED BIMONTHLY ASSIGNMENT TOWARDS SUMMATIVE ASSESSMENT FOR THE MONTH OF MAY 2021

      Medicine Blended Assignment (May) I have been given the following cases 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, investigation and diagnosis and come up with the treatment plan. This is the link of questions asked regarding the cases:    http://medicinedepartment.blogspot.com/2021/05/online-blended-bimonthly-assignment.html?m=1 Below are my answers to the medicine assignment based on my comprehension of the cases. 1) PULMONOLOGY 1Q) https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html 1)what is the evolution of the symptomatology in this patient interms of an event timeline and where is the anatomical localisation for the problem and what is the primary etiology of the patient  problem ? Ans)Evolution of symptomatology 1st episode of sob - 20 yr back 2nd epis...
Post a Comment
Read more

A 70Y Old Male with Left LL Cellulitis

This is an Online E Log book to discuss our patient's de-identified health data shared after taking his signed informed consent Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patient's with collective current best evidence based inputs. M. K. Farhan Roll no. 4 I've been given this case to solve in an attempt to understand the topic of "Patients Clinical Data Analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. I have taken some inputs from the elog about the same patient which have been mentioned in the above link 4th September, 2023. Case Discussion: A 70yr old male came with C/o swelling over right lower limb  c/o pain over Right LL  c/o shortness of breath (Grade 2) since 2 days No aggravating and relieving factors. History of Presentin...
Post a Comment
Read more