February 27

I'm Muskan,3rd year BDS student.
February 27,2023
  
This is an E-log to discuss case scenario of a patient with their guardian's help.
I have been given this case to solve in an attempt to understand topic of patient, clinical data analysis to develop my competency in reading and comprehending clinical data including history, clinical findings, investigation and come up with diagnosis and treatment plan.


A 53 year old male resident of Nalgonda came OPD on 27 February.
 CHIEF COMPLIANT :
   Worms in the stool since 1 month
  Pain in lower limbs since 15 days because of which is ia       unable to walk .
 Pain on touch in upper limbs .

HISTORY OF PRESENT ILLNESS:
 Patient was apparently asymptomatic since 2 years then he developed symptoms of high fever, fatigue and frequent urination for which he had visited to local clinic where he was diagnosed with diabetic. From past 1 months he was having worm  in his stool .
And his present compliant now is pain in upper and lower limbs since 15 days .
Onset : incidous
Location: In upper and lower limbs
Radiation : radiate to whole body
Type of pain : acute pain associated with loss of sensation.
Past history: 
Hypertension: significant
Diabetes: significant
TB and asthma : not know
Family history : not significant 
PERSONAL HISTORY: 
 DIET : mixed 
Appetite: normal
Bowel and bladder : irregular
Sleep : inadequate
Addiction: none
General examination: 
Patient was conscious, coherent, cooperative well oriented to time and place and person.
Pallor :no
Edema : no
Clubbing: no

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