04 Kavyasree (old batch)

Review:https://ajaypavankumarreddy.blogspot.com/2021/04/leprosy-lepra-reactions-35-year-old.html

This is an online e log book to discuss about patients de identified data shared after taking his/her /guardian signed informed consent

Case details: 
A 35 year old male patient,Resident of Ramachandrapuram, Hyderabad,works as daily wage labourer.

Who is a chronic smoker(1 pack of beedi every 2 days) and taking alcoholic (90 ml daily) since 20 years.

    Presented,with 3 months history of painless lesions papules with erythema that started initially over face then extended to upper limb and lower limb, trunk.

     No hypodense lesions,no fever,no pus discharge,no loss of sensation,no genital lesions.

      Patient got topical cream,soap and some oral drugs from medical shop.OTC
 He used for 2 months few lesions regressed,but few persisted on nose,earlobe and on trunk,hands,legs.





     14 days back patient developed blackish skin discoloration over hands and feet with skin peeling,cracking,ulcer formation-associated with burning sensation and erythema all over the body.
No new lesions were noted.




    Since 4 days patients developed high grade fever associated with chills and rigors, continuous


    Loss of appetite+





 No known comorbidities
No history of similar complaints in the past.






On examination:

  Face- loss of eye brows

  Thickened earlobes 


    Multiple papules with erythema over face, limbs,trunk


  Oral cavity-
 Palate- dark,erythematous lesion.

  Diagnosis- hansen's diseases












Any reviews, comments, inputs, advice about the content or about the blog is absolutely welcome since it would really feel great to have helped a patient via this piece of work. 
Thanks & Regards
Kavyasree Kaluvala

Comments

Post a Comment

Popular posts from this blog

CERVICAL TUMORS( 04 -06 Old batch students)

Image
                          CERVICAL TUMORS.                   (Pathology Assignment)  BY- 04 KAVYA SREEE(OLD BATCH)          05 NEEHA SRUTHI(OLD BATCH)          06 T. KRISHNA HARIKA(OLD BATCH)               About the cervix Cervical cancer starts in the cervix, which is the lower, narrow part of the uterus. The uterus holds the growing fetus during pregnancy. The cervix connects the lower part of the uterus to the vagina and, with the vagina, forms the birth canal. About cervical cancer Cervical cancer can grow from the surface of the cervix seen in the vagina, called the ectocervix, or from the canal going from the vagina to the uterus, called the endocervix. There are 2 main types of cervical cancer named for the type of cell where the cancer started. Other types of cervical cancer are rare. Squamous cell carcinoma  makes up about 80% to 90% of all cervical cancers. These cancers start in the cells on the outer surface covering of the cervix. [ Adenocarcinoma  makes up 10% to 20% of
Read more

04 KAVYASREE (OLD BATCH)-BIMONTHLY ASSESSMENT AUG-2021

Image
04 KAVYASREE(OLD BATCH) 3rd SEMISTER. Hi This is K.KAVYASREE, a 3rd semester medical student ."This is online E log book to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patient’s problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs" Medicine paper for Aug 2021 bimonthly blended assessment    https://medicinedepartment. blogspot.com/2021/08/medicine- paper-for-aug-2021-bimonthly. html?m=1 Q1 )  (Testing peer review competency in the active reader of this assignment) : Please go through the long and short cases in the first link shared above and provide your critical appraisal of the captured data in terms of completeness, correctness and ability to provide useful leads to analyze the diagnostic and therapeutic uncertainties around the cases shared
Read more

KAVYASREE KALUVALA(04 OLD BATCH) JULY 04,2021

Image
A 40 year old male patient with complaints of seizures. JULY 04,2021. I am K.Kavya sree   and this is a case that I have come across in the discussion group, described below:- A 40 year old male patient came to casualty with chief complaints of five episodes of seizures - focal (right side) with secondary generalisation associated with loc involuntary micturition since today morning for which he was taken to a local hospital and got treated symptomatically. From there he was referred to one hospital for further treatment. Pt was brought to casuality in a state of altered sensorium . GCS : E3V4 M5. H/o generalized weakness & body pains since one day. No history of fever/vomiting/headache/weakness of of UL/LL/deviation of mouth. No other complaints. Past history: Not a k/c/o DM/HTN/Asthma/Epilepsy/CAD/TB Personal History :  Daily wage labourer Consumes alcohol 180 ml/ day since 20 years. Cigeratte smoking  15 / day since 20 years . General examination : No pallor /icterus /cyanosis /
Read more