GM Case 1

March 4, 2023
General medicine
Case -1
Case senario....... 

Hi I am K.Pranay kumar, 3rd BDS student. This is an online blog Book to discuss our patients health data after taking his consent. This also reflects my patient centered online learning portfolio 

                          CASE HISTORY
Patient details
A 35 years old man came to hospital with unable to walk, sweating the legs, tingling sensation
History of present  Illness:
*Patient was apparently asymmetric 4years back
*The  Patient has suddenly unable to walk and he couldn't walk since 4 weeks
He was feeling the tingling sensation and sweating all over his legs after he found that he couldn't walk normally
*pedal edema present 3 weeks back while coming to hospital now it is absent
*legs became weak eventually 
*tyroid conformed
History of past illness:
Tingling is present 4-5year back but it cured through medicines
*No Hypertension 
*No Diabetes Mellitus
*No Tuberculosis
*No CAD
*No CVA
Family history
No similar complaints
Personal history
*Diet : mixed
*sleep:normal
*Appetite:normal
*Bowl moments:normal
*Addiction:no
*Allergies:no
General examination:
*patient is consious &co-operative
*Built-moderately built
*Pallor-no
*lcterus-no
*Edema-no
*Cyanosis-absent
*Clubbing-normal
*Lymphadenopathy-absent
Drug history:
Thyroxine sodium tablets 25mcg
Axonal and Secondary Demyelinating Sensory Motor Neuropathy in both Lower limbs and Denovo Hypothyroidism"

VITALS:
Temperature: 98.6°c/f ( afebrile)
Pulse: 92 beats per minute
Respiratory rate: 16 cycles per minute
Blood pressure: 120 /90mm Hg
SPO2: 100%
Questions:
*Hypothyroidism affect his legs? 
*How long it take to cure? 

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