1601006102 Short case

 

1601006102 SHORT CASE

 This is an online E log book to discuss our patient’s de-identified data shared after taking his/her/guardian’s signed informed consent”


MBBS FINAL SHORT CASE

—————————————————————————

35 year old male patient, resident of ramchandrapuram, works as a daily wage labourer, a chronic smoker (1 pack of beedi every 2 days) and a chronic alcoholic (90ml daily) since 20 years presented with a 3 month history of painless papules with erythema that started initially over the face then gradually extended to upper limb, low limbs and trunk 

  • No hypodense lesions 
  • No fever 
  • No pus
  • Mild loss of sensations
  • No genital lesions 

Patient got over the counter  topical cream, soap and some oral drugs from nearby medical shop 

He used them for 2 months, few lesions regressed but few persisted on nose, ear lobe, hands, legs and trunk.

14 days ago patient developed blackish skin discolouration over hands and feet with skin peeling, cracking, ulcer formation associated with burning sensation and erythema all over the body.

Since 4 days patient developed continuous high grade fever associated with chills and rigors.

Associated with Loss of appetite 

There is no history of similar complaints in the past 

EXAMINATION:

  • Face: loss of eyebrows, thickened earlobe
  • Oral cavity: dark erythematous lesions on the palate
  • Multiple lesions of different sizes with ill defined erythematous borders and pale hypopigmented centre with peeling and raw areas are seen on trunk, limbs and face
  • Scaly hyperpigmented plaques with fissures noted involving the feet Extending  from the sole to the dorsal aspect of the foot
DIAGNOSIS:

Hansen’s disease 




Comments

Post a Comment

Popular posts from this blog

​A 36 Old Male, Cement factory worker by occupation with C/O of Abdominal pain,Right loin pain,Vomitings

Image
A Case of  36 Old Male, Cement factory worker by occupation with C/O of Abdominal pain,Right loin pain,Vomitings 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 is the case I have been given :- ​A 36 Old Male Cement factory worker by occupation came to the opd with chief complaints of  Abdominal pain since 5days  Right loin pain since 5 days  Vomitings since 5 days  HISTORY OF PRESENTING ILLNESS - Patient was apparently asymptomatic one year ago then he developed pain in abdomen, later he went to the local hospital and was diagnosed to have right renal calculi for which he took treatment and got cured. Then he developed pain in abdomen 5days a
Read more

A 75 year old female patient with shortness of breath ,Bilateral pedal edema

Image
  This is an a online e log book to discuss our patient de-identified health data shared after taking his/her/guardians 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 patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have 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 diagnosis and treatment plan The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitt.   Chief
Read more

A 45 year old female with Right tonsillar Hypertrophy with Acute gastritis

Image
A case of 45 year old female with complaints of swelling in B/L Tonsils,Pain and burning sensation in the throat 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 is the case I have been given :- A 45 year old female who is a power press operator by occupation came with  C/o Swelling of B/L Tonsils since 2 years  C/o Pain and burning sensation in the throat C/o Difficulty in swallowing since 2 years  C/o Back pain since 6 months which is aggregated on doing work  C/o Excessive day time sleepiness since 6 months  Patient was apparently asymptomatic 10 Years back and then she developed B/L tonsil swelling which were touching each other and got cur
Read more