Case of Gastroenteritis

 Case of Gastroenteritis 


A 70 year old female presented to opd with chief

 complaints of lower back pain since 10 days and 

Blebs on right foot since 20 days .


Patient had a fever 15 years back,went to hospital for check up and got to know that she is hypertensive patient .

10 years ago patient had joint pains,mostly elbow joint (patient is not aware of sequence of the pain )


8years back ,joint pains aggravated , started using medications , pain got subsided, stoped using medications and pains started again.


4 years ago underwent tooth extraction when she fell down doing some work.

3 years ago ,had fever ,admitted in our hospital, found that she had some renal problem (no records available ) and later discharged.

One year ago ,patient had facial puffiness,generalized weakness with multiple joint pains.

5 months ago,had severe wrist joint pain with restricted movement, distal interphalangeal joint pain,proximal interphalangeal joint pain .

10 days ago, developed blebs on dorsal aspect of right foot later formed scab with swelling which regressed now.lowe back pain, 2 episodes of vomitings,5 to 6 episodes of diarrhea in a day, burning micturation , cought and shortness of breath. 


General Examination:

No pallor

No cyanosis 

No lymadenopathy

No icterus 

No clubbing

Edema of foot 

Temperature - 96.6 F

Pulse rate 110 per min

Blood pressure 100 /70 - not on antihypertensive from 4 days 

Spo2- 98%

GRBS - 87mg %


Systemic Examination : 

RS - Bronchial artery embolization +, Normal vesicular breath sound +

CVS - S1, S2 heard 

Per abdomen - soft ,non tender 


Investigations : 

Haemoglobin- 5.6

Urea -89

Creatinine-3.1

UA - 18.4

Ca - 10 

Phosphates-4








Provisinal diagnosis:

Acute Gastroenteritis 

Iatrogenic Cushing's syndrome 

Comments

Post a Comment

Popular posts from this blog

Case of Acute Bronchiectasis

Image
A 42 year old female patient came to casuality on   15/12/21 with chief complaints of Shortness of breath  since 3 months, fever since 7 days,cough since 10  days and decreased urine output since 2 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 3 months back  after which she developed SOB which was insidious in  onset with orthopnea. Patient developed cough since 10 days with  expectoration (mucoid, minimal, foul smelling and not  blood stained) increased on lying down and decreased  when sitting down. Patient complaints of  fever since 7 days with chills. Decreased urine output since 2 days . Patient had history of tuberculosis 6 years back for  which she was on medication for 8 months and cured completely . Patient is not known case of diabetes mellitus ,hypertension and ischemic heart disease.    - h/o similar complaints for the past 6 months(became severe since 10 days . Patient is labor worker  by occupation and she may be exposed to biomass and dust since 2
Read more

Case of Chronic Kidney Disease

Image
This is an online elog to discuss patient deidentified health data shared after taking his /her guardian signed informed consent.Here we discuss about our individual patient's problem through series of inputs from available global online community of experts with an aim to solve the patient's clinical problem with collective current best evidence based input .  This eblog also reflects my patient's centered online learning portfolio and your valuable inputs in the comment box is welcome. Date of admission : 04/08/2021 A 55 year old man,mechanic by occupation presented to the OPD with chief complaints of decreased urine output since 1 day. HISTORY OF PRESENT ILLNESS :  Patient was apparently asymptomatic from past one year.On date 20/7/2021 patient had sudden onset of shortness of breath so taken to hospital,treated with oxygen supply. Doctors told him that he has elevated creatinine levels in blood and advised to undergo dialysis. On 26/7/21 patient is being prepared for  c
Read more

General Medicine Prefinal Assessment

Image
 1.Define Heart failure. Ethiology and Clinical features of Heart failure . How do we diagnose heart failure clinically ,physical examination and various modalities used in heart failure . Write a brief note on treatment of heart failure.  2. Define Cirrhosis of liver.Ethiopathogenesis of cirrhosis. Write a brief note on clinical features,diagnosis and treatment of cirrhosis of liver. 3. Elaborate clinical features and diagnostic modalities in diagnosis of Renal calculi 4.Ethiology of Pleural effusion .Diagnostic criteria of Pleural effusion.  5. Diagnosis and treatment of Dengue fever. 6.Clinical features and diagnosis of Peptic Ulcer disease.  7.Treatment of Acute pyelonephritis. 8. Treatment of Abdominal tuberculosis 9.Ethiology and Treatment of Pneumonia  10. Complications of Dialysis  17.Antihypertensive drugs in Chronic renal failure 20. Hormones secreted by Pituitary gland 16.Insulin therapy in diabetic mellitus  15. Differential diagnosis of "Fever with Rash" 14. Trea
Read more