General medicine 1

Feb14  2023
Case scenerio.... 

Hi, Iam k. Sahalya, 3rd year BDS student. 
This is an online elog book to discuss our patients health data after taking her consent. This also reflects my patient centered online learning portfolio. 

CASE SHEET:  a  68 years old man with leg pain. 

CHIEF COMPLAINTS: patient complaince of pain in his right knee and ankle since 2days and also associated with swelling  of foot since 1day



HISTORY OF PRESENT ILLNESS:
Patient was apparently asymptomatic 2days  back.Then he developed leg pain over right knee and ankle region due to hit by a rod. 
Pain is continuos and throbbingg type of pain and pain is radiating towards ankle. 
Pain is aggrevative during walking and no relieving factors. He also complains about over swelling at right ankel since1day. Swelling is soft and non tender and he is associated with small ulcer. Patients also complains about fever low grade fever. 

PAST HISTORY: No relevant past medical  history

FAMILY HISTORY: No relevant family history

PERSONAL HISTORY : 
Mixed diet
Good appetite
Proper sleep
Regular bowel

GENERAL EXAMNLINATION:
Consciousness: Conscious and cooperative
Built:thin
Nourishment:well nourished


Pallor:
Icterus:
Cynosis:
Lymphadenopathy:
Edema: non Pitting edema

No injuries over face and forearm and abdomen and chest. 


PROVISIONAL  TREATMENT:
Soft tissue edema over right ankle

Investigations: 


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