42F with pain from the waist to the toes

42 yr old with pain from the waist to toes

26 September 2023

Case of 42 yr old with pain from the waist to toes along with pain in the palm since  a month 

This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input.

This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome.

I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. 

CHIEF COMPLAINTS 
 
The patient came to the opd with pain from the waist to toes along with pain in the palm since a month 

HISTORY OF PRESENTING ILLNESS 

The patient was apparently asymptomatic a month ago and then developed pain from the waist to toes along with pain in the palm 

No C/O chest pain, orthopnea, PMD,decreased urine output, pedal edema or facial puffiness. 

PAST HISTORY 
Not a known case of hypertension, DM, CVA,CAD,TB, asthma.

FAMILY HISTORY 
No significant family history

PERSONAL HISTORY
Appetite-->normal
Bowel movements-->regular
Burning micturition after taking tablets for pain

GENERAL EXAMINATION
No signs of pallor,icterus, cyanosis, clubbing, lymphadenopathy and pedal edema


VITALS
PR: 76bpm
BP: 120/80mm hg
RR: 17bpm
TEMPERATURE: 98.6F


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