GM CASE 1

Case scenario 

February 23

Hi, I am Karnati Tejaswini, 3rd BDS student.

This is an online elog book to discuss our patients health data after taking her consent.This also reflects my patient centered online learning portfolio

       

                          CASE HISTORY

Patient details:

A 35 year old male,occupation-auto driver resident of cheruvugattu presented with

Chief complaints:

He got burns on his right foot one week back but he did not attended to the hospital as infection got spread it turned to gangrene and spreading to the right leg . Hiccups since 3 days.

History of patient illness:

Chronic alcoholic patient 

Diabetic 

Pancreatitis 

8 years back he was met with accident then he got fracture in right hand and bone dislocation in right knee joint.

Diarrhoea since 1 year .

Family history:

No family history of diabetes.

Personal history:

Diet: mixed

Appetite: normal

Sleep: abnormal as he gets sleep only if he drinks alcohol

Bowel and bladder: abnormal

General examination:

Conscious and cooperative 

Patient was built thin and poorly nourished

Pallor : absent 

Icterus: absent

Cyanosis:absent

Lymphadenopathy:absent

Edema: absent

Vitals:

Pulse rate: 85bpm

Blood pressure:90/ 60 mm/hg

Temperature 100 degree Fahrenheit.

Q/A

1. What may be the main reason for diarrhoea for this patient as he is suffering from past 1 year ?

2.as the infection is spreading can we confirm it as gangrene?

3 .if it is a gangrene do we need to amputate the leg or is there any medication to spread of infection?