67F came to OPD with pain in the Rt hand since 1yr and also with pain in the Rt and Lt knee joints.

She is a k/c/o Gastric ulcer since 20yrs.
She is suffering from Painful Rt upper limb which is of dragging type since 1yr , which aggrevates during sleep as she used to sleep on Right hand.
She Is even suffering from Rt and Lt knee joint pain since yrs , which is of pricking type.

K/c/o - hysterectomy
N/o - Bp, DM, thyroid , asthma, trauma, TB, CVA , CAD

Personal history:- 
Appetite:- normal , mixed diet , sleep :- disturbed, bowel and bladder movements - normal , no addictions

NO SIGNIFICANT FAMILY HISTORY

GENERAL EXAMINATION:- 
No pallor, no icterus, no clubbing , no cyanosis , no lymphadenopathy , no edema

RANGE OF MOVEMENTS:- shoulder - flexion, adduction, abduction, extension are normal; 
Neck movement:- normal (no stiffness) 

BP:- 120/80mm of Hg 
PR:- 80bpm
RR:-14rpm

Popular posts from this blog

38F came to OPD for thyroid checkup

Patient is k/c/o thyroid since 9yrs , as she is suffering from hair loss, giddiness, tiredness. *Patient is on medication - thyronorm (25mcg)  PERSONAL HISTORY:-  appetite - normal , mixed diet, sleep - sufficient,bowel and bladder movements - regular , no addictions GENERAL EXAMINATION:-  no pallor , no icterus, no clubbing , no cyanosis , no lymphadenopathy BP :- 120/80mm of Hg PULSE RATE :- 64bpm RESPIRATORY RATE :- 12rpm
Read more

53M with right lower back pain since 1yr , painful joints , painful swelling below knee since 15days

Patient came to OPD with C/O Right lower back pain since 1yr , joint pains and painful swelling below the knee since 15days. He is a k /c/o gouty arthritis referred from general surgery department. *Back pain was sudden in onset gradually progressive, dull type, which relieves on micturition and aggrevates on urine retention, he feels giddy on bending. *Joint pain since 5 yrs which relieves on medication.  *Pain below knee was of pinprick type. *In case of severe joint pains he suffers from fever , chills which releive on taking medication (dolo-650, paracetamol)  Patient is known hypertensive since 5yrs and is on medication ( amlodipin-5mg + telmisartan -40mg) from 4days. N/O diabetes milletus, thyroid , asthma, CAD, CVA , TB , any surgeries.  PERSONAL HISTORY:-   Appetite - normal, mixed diet ( allergic to meat - itching on face ) , sleep - sufficient, bowel movements - regular,bladder movements - poor stream of urine since 5yrs , occasional alcohol drinker , chews tobacco  for 10 da
Read more