A case of Suspected Osteoarthritis

General medicine-3

Hi ,i am K.Shreya3rd year  BDS student .
This is an online elog book to discuss our patient data after taking her concent this also reflects my patient centred online learning portfolio 

Case sheet:A 60year old male admitted in hospital due to continuous Lower back ache , lowe limb pain (bilateral),bilateral knee pain since 4months 
 
History of present illness:patient was apparently asymptomatic 4 months back then he developed pain of both lower limbs  which is insidious and progressed gradually
Patient visited local government hospital and took the medicines before 2months 
Pain was subsided only when he is on medication 
Type of pain: dull aching , pricking type 
Radiating from both hips to ankles
Relieving factors - medication
Aggrevating factors -work 

History of past illness : Patient is not a known case of hypertension , diabetes mellitus,TB, epilepsy 

Family history:not significant

Personal history:Patient is conscious and moderate in built 
Occupation :Labourer and farmer 
Diet.       :    mixed
Appetite. ;decreased
Sleep.      : sleeplessness
Micturition.: decreased urine output 
Bowels.     :regular 
Alcohol.     :Daily -90ml per day since 30years
Smoking.    :1pack /15beedi per day since 18yrs 

General examination:
Palor-No
Icterus-no
Cyanosis-no
Clubbing-no
Lymphadenopathy-No
Edema.                -No
Investigations: 
Hemogram 
Test for RA factor 
X-ray ( bilateral knees)

Provisional diagnosis:  Suspected case of Osteoarthritis of bilateral Knees

Treatment:
Questions: What foods prevent joint pains ?
Is joint pains are due to heavy work?

Popular posts from this blog

Case of Heart failure with reduced ejection fraction

Image
General Medicine -1 Hi ,I am K.Shreya 3rd year BDS student . This is an online elog book to discuss our patient data after taking her concent this also reflects my patient centred online learning portfolio . Case sheet:A 42year old male admitted in hospital due to continuous chest pain Chief complaint : chest pain central and radiating to shoulder and shortnes of breathe  History of present illness:patient was apparently normal 11 days ago, then he suddenly developed chest pain radiating to two  associated with sweating and palpitations. Type of pain:dragging type  Radiating to shoulders   relievingfactors -medication History of past illness: patient suffered from liver problem and was on medication  1 month ago later he got chest pain and admitted in hospital and diagnosed as inferior wall MI and posterior wall MI and stopped the previous medication. No other associated diseases Personal history: Occupation : lorry driver  Appetite :normal Mixed diet  Normal sleep   Micturion -normal 
Read more

A case of Chronic renal failure

Image
GM-4  Hi ,i am K.Shreya3rd year  BDS student . This is an online elog book to discuss our patient data after taking her concent this also reflects my patient centred online learning portfolio . Case sheet:A 40year old male admitted in hospital with persistent cough  Chief complaint : patient complains of cough with sputum (mucoid type , yellowish ,without blood stains)since 20 days and decreased appatite since 10 days . History of present illness:patient was apparently asymptomatic 20days back then he developed cough with sputum (productive cough)which is continuous and gradually progressive  He went to local hospital and routine tests was done and found problem related to kidneys and he is on medication and dialysis still now .He is on dialysis which is on alternate days  He experienced edema after using the medication but later it is subsided . Aggrevating factors-Lying down in supine position and during nights  Relieving factors-Medication History of past illness: Hypertension since
Read more