General Medicine Blog 5

           35 year old male with swelling , ulcer with pus discharge  on his right foot  since the past 10 days

Hi , I am Humera Firdous  ,3rd semester student. This is an online elog book to discuss our patients health data after taking his consent. This also reflects my patient centered online learning portfolio. 

CHIEF COMPLAINT- A 35 year old male patient resident of choutuppal and driver by occupation presented to the department with chief complaints of fever along with pain and swelling with pus on the sole of the right foot near the second toe since 10 days. 

HOPI- The patient was apparently asymptomatic 10 days ago. He developed fever which was continuous and along with it he also noticed a swelling on the plantar surface of right foot near his 2nd toe associated with pus.He also had pedal edema on right leg. He visited a RMP ten days ago and was prescribed medications which reduced his fever for a while but did not reduce the swelling. After 3 days he visited the department as his fever didn't reduce and the swelling and the pus oozing had increased. He had no history of night sweats.


PAST HISTORY 

Hypertensive since 1 year 

Diabetes since 11 years (intially he used tablets but since 4 years he was on insulin therapy)

 Pedal edema since 10 days 

N/K/C/O Asthma,TB,Epilepsy,surgeries 

FAMILY HISTORY

Not relevant 

PERSONAL HISTORY

Mixed diet 

Appetite- normal 

Bowel and bladder movements-normal

Sleep-adeqate 

No addictions  

GENERAL EXAMINATION

Patient is conscious ,coherent and cooperative 

Moderately built 

Well nourished 

 pallor present

No icterus

No cyanosis

no Clubbing of fingers

No lymphadenoptathy

Edema of legs

Facial puffiness





INVESTIGATIONS 







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