A 55 year old female presented to the opd with sweating, yellowish discolouration of the sclera and generalised weakness.
E LOG GENERAL MEDICINE.
Hi, I am G Sai Karthik, 3rd Sem Medical Student. This is an online e-log book to discuss our patient's health data shared after taking his/her/guardian's consent . This also reflects patient centered care and online learning portfolio.
- This E-log book also reflects my patient-centered online learning portfolio and of course, your valuable inputs and feedbacks are most welcome through the comments box provided at the very end. HAPPY READING.
- * This is an ongoing case. I am in the process of updating and editing this ELOG as and when required
CASE SHEET.
Chief complaints and duration.
A 55 year old female presented to the opd with yellowish discolouration of the sclera, sweating and generalised weakness.
History of present illness.
Patient was asymptomatic 20 days back, and suddenly developed fever with burning micturition associated with yellowish discolouration of tongue, sclera and skin.
She came to our hospital for the same and was advised admission but attendants didn’t want to get admitted.
She was prescribed medicines and went back home
She started using herbal medicines every Monday, skipping anti hypertensive and anti diabetic medication for 3 days
On 17th night, she was normal, slept after dinner, woke up at 2 am for urination but couldn’t pass urine. She went back to sleep and woke up at 5 am when she started developing sweating, weakness and voice drop.
She presented to the hospital in a semi conscious state
History of past illness.
Diabetic since 5 years
Hypertension since 5 years.
No TB
No CAD
No Syphilis
No Asthma
Family history.
No significant family history
Allergies.
No allergies
Drug history.
Using medicines for Diabetes and hypertension
Personal history.
Patient was previously a agricultural labourer by occupation.
Appetite is normal
Mixed diet
Bowel movement is regular.
Normal urine output
Occasional Smoking stopped 6 years back because he was having puffiness in face
Occasionally drinking andTobacco chewing stopped 6 years back
Sleep was adequate
PHYSICAL EXAMINATION.
A. General Examination
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