GM CASE -1

THIS IS AN ONLINE BLOG TO DISCUSS OUR PATIENT HEALTH DATA AFTER TAKING PATIENTS CONSENT.YHIS ELOG BOOK ALSO REFLECTS MY PATIENT CENTERED ONLINE LEARNING PORTFOLIO AND YOUR VALUABLE INPUTS ON COMMENT BOX IS WELCOME 

D OM SRI SAGAR

ROLL NO:18

CASE HISTORY

35 YEARS OLD MALE WHO IS TRACTOR DRIVER

HE WAS APPARENTLY NORMAL 8 YEARS AGO

HE CAME TO HOSPITAL ON 18 FEB 2023 WITH COMPLAINT OF WEAKNESS,BREATLESSNESS 

AND SEVERE RIGHT TOE PAIN

PAST HISTORY

FROM 10 YEARS PATIENT WAS DIABETIC AND STARTED TAKING MEDICATION 

FROM 3 YEARS PATIENT WAS INJ. INSULIN 15 UNITS DUE TO UNCONTROLLED SUGAR LEVELS IN BLOOD

2 YEARS AGO PATIENT DEVELOPED OEDEMA ON LEGS ... HE STOPED DOING EXTERNAL WORKS AND REMAINS AT HOME.

2 MONTHS AGO PATIENT DEVELOPED AN ULCER ON RIGHT TOE ...

FROM LAST WEEK PATIENT IS WEAK AND HAVING BREATHLESSNESS AND CAME TO HOSPITAL.

PRESENT HISTORY

DITE: MIXED

APPETITE:NORMAL

BOWEL & BLADDER :REGULAR

ADDICTIONS: ALCOHOLIC -2YEARS BACK

TREATMENT HOSTORY

NO TREATMENT HISTORY

FAMILY HISTORY

NO FAMILY HISTORY

GENRAL EXAMINATION

 

                                                                     

BULT & NOURISHMENT: GOOD BODY MASS 

PALLOR: PRESENT

NO ICTERUS ,CYNOSIS,CLUBBING,LYMPHEDENOPATHY

TEMPERATURE:98F

PULSE RATE:88

BLOOD PRESSURE:130/90

SPO2:99%

 

Q/A

1. HOW DOES DIABETES IS PREDISPOSING FOR GANGRENE ? AND WHY NOT ALL DIABETIC PATIENT DEVELOPE THIS ?

2.IS SURGICAL REMOVAL IS ONLY METHOD TO TREAT GANGRENE?

3.DOES IT CAN BE IDENTIFY IN INITIAL STAGES?

4.IS ALCOHOL PREDISPOSING FACTOR?

5.DOES THE PATIENT GET COMPLET PROGNOSIS?GANGRENE IS REVERSIBLE?