GM Case 1

3rd  march 2023

Case scenario...... 

Hi, this is m sindhuja 3rd Bds. This is an online eblog book. Discuss our patients health data after taking his consent. This also reflects my patient centered online learning portfolio. 

Case Sheet:45 yrs old male c/o ulcer over left foot since 1 year. 

COMPLAINTS AND DURATION:
                              Ulcer over left foot since 1 year. 

History of present Illness (HOPI) :
            Patient was apparently asymptomatic until 1 year back. Later he met a accident and injured to left leg. After injury wound developed over left leg. There is a Associated fever. 

                                                          History of past illness:    
                                                                No h/o burning micturation /pain Abdomen/chest pain/palpitation.
No decreased urine output /pedal edema. 
K/c/o poliomylelitis since childhood 
Not a k/c/o DM, HTH/TB/Asthma/epilepsy/CVA/CAD/thyroid disease. 

Personal History:
      Normal appatite, mixed diet with regular bowl and bladder habits and addiction to alcohol occasionally and micturation normal, no known allergies. 

Family History :
     Not significant.

General Examination: 
   Patient is conscious 
No pallor ,
No cynosis ,
No icterus ,
No clubbing, 
No malnutrition, 
No edema.,
No lymphadenopathy. 

VITALS

Pulse Rate= 86 Bpm
BP= 110/80
Spo2= 98%
Respiratory Rate=16cpm


PROVISIONAL DIAGNOSIS: 
          Traumatic nonhealing ulcer. 

Q/A:
       How many days will it take to get cure?   
      




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