GENERAL MEDICINE CASE DISCUSSION

 16/12/2022 

CASE DISCUSSION: 

A 57 yr old male came to OPD who is a farmer came with ,

CHEIF COMPLAINTS: 

unable to walk since 3 days 

multiple joint pains since 15 days 

swelling of bilateral lower limbs since 10 days 

HISTORY OF PRESENT ILLNESS : 

when he was tring to get up from bed he was unable to do followed by multiple joint pains .no tingling & numbness of limbs

no h/o fever, breathlessness,loose stool, vomitings,decreased urine output 

PERSONAL HISTORY : 

Appetite: Decreased appetite

Diet:Mixed

Bowel and Bladder habits:regular

Addictions:

He is chronic alcoholic since 10 years ,he drinks daily at around 180ml/day   

PAST HISTORY  : 

There is no history of DM,HTN,TB, EPILEPSY.

No history of blood transfusions.

No history of previous surgeries. 

FAMILY HISTORY: 

Insignificant 

GENERAL EXAMINATION: 

PALLOR: ABSENT 

ICTERUS:ABSENT

CYANOSIS: ABSENT

CLUBBING OF FINGERS/TOES: ABSENT  

LYMPHADENOPATHY: ABSENT

PEDAL EDEMA: ABSENT 

SYSTEMIC EXAMINATION : 

CVS:

S1,S2 Sounds heard,

No audible murmurs,

Thrills:No.


RESPIRATORY SYSTEM:

Dyspnea is present,

Position of trachea:central,

Normal vesicular breath sounds are heard,

No adventitious sounds  

INSPECTION: 






INVESTIGATIONS : 

12/12/2022 

USG (outside) : 


ECG : 


PROVISIONAL DIAGNOSIS: 

paraparesis 

TREATMENT: 

INJ.LASIX 20mg IV BD 

TAB.ALDACTONE 50 mg OD 

INJ.MONOCEF 1gm IV BD 

INJ.THIAMINE 200 mg IV 

INJ.PAN 40 mg IV OD 

INJ.NEOMOL 1gm /IV /SOS 
















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