25/F with generalised weakness and splenomegaly

 25/F daily labourer by occupation came to gen medicine OP with complaints of pain abdomen (on and off) since 1 year, decreased appetite with early satiety since 1 year, hair loss since 1 year and generalised weakness ( on and off) 

Pain abdomen is squeezing type, diffuse not associated with vomiting or nausea

12 years back she had trauma on right foot ( an iron material fell on it) followed by swelling of the foot and later whole body ( anasarca ) 


H/O blood transfusion (2 pints)  after 2-3 months of trauma ( hemoglobin 3.2 gm ) at that time. Injection iron sucrose 10 ampules  transfused on alternate days during her 8th month of 1st gestation (Hb then was 7 ). She had jaundice during the 9th month of her gestation

During delivery emergency LSCS ( august 2019) done due to foetal distress and due to PPH, 2 pints of blood transfusion was done


pallor + 

distended abdomen. spleen palpable + ( upto umbilicus) 

menstrual history: 

Age of menarche -13

duration of cycle -30

no of days of bleeding- 3

normal flow , no clots , dysmenorrhoea on and off 



appetite decreased

mixed diet   , 

bowel bladder activity is normal

no known allergies

no addictions 

no significant family history 










































Comments

Post a Comment

Popular posts from this blog

SHAILESH PATIL DISSERTATION

 THESIS TOPIC CLINICAL PROFILE AND THERAPEUTIC OUTCOMES IN PATIENTS WITH NON ALCOHOLIC FATTY LIVER DISEASE NAME OF THE STUDENT : DR.SHAILESH SAMBHAJI PATIL ( PG 2020-2023) DEPARTMENT OF GENERAL MEDICINE KAMINENI INSTITUTE OF MEDICAL SCIENCES, NARKETPALLY UNIVERSITY: KALOJI NARAYANA RAO UNIVERSITY OF MEDICAL SCIENCES,TELANGANA. HEAD OF THE DEPARTMENT OF GENERAL MEDICINE : DR RAKESH BISWAS . MBBS , MD GENERAL MEDICINE ( PGIMER, CHANDIGARH ) GUIDE: DR A.PRAVEEN NAIK , MBBS , MD ( GENERAL MEDICINE )    ASSOCIATE PROFESSOR , DEPARTMENT OF GENERAL MEDICINE CO GUIDE : DR NAGESHWAR RAO , MEDICAL GASTRO ENTEROLOGIST BACKGROUND – It was the Roman anatomist Galen who made the liver the principal organ of the human body, arguing that it emerged first of all the organs in the formation of a fetus It Is a tough job for the liver to keep the cleaning function of the body especially with the present-day unhealthy eating and drinking habits of people. Non-alcoholic fatty liver disease (...
Read more

BIMONTHLY December

Image
 QUESTION NO 1) 1) pt presented vth unable to move his rt upperlimb followed by recurrent episodes of rt sided focal seziures. risk factors in him are alcoholic, smoker, diabetic,on presentation BP was high(170/100mmhg). According to h/o pt might be having cerebrovascular event follwed by focal seziures. Anatomical location could be ?frontal lobe involvement ( imp for cognitive functions and control of voluntary movements), ? parietal lobe (it processes information about movement) could be? anterior circulation stroke. 2) sub cortical infract - occur in the supplying area of a single, deep perforating brain artery and are mostly felt to be a consequence of cerebral small-vessel disease (CSVD). Cortical brain infarcts - infarcts involving cortical gray matter, but may differ considerably in size. ... Small cortical infarcts were mainly localized in external watershed areas, whereas large cortical infarcts were localized primarily in large arterial territories.  3) Cerebrovascu...
Read more

40/M with chest pain and anxiety

Image
 40 year male from a neighbouring state arrived to our hospital today morning with complaints of retro-sternal chest pain and anxiety since 4 days. Pain was non radiating, crushing type which did not decrease on medication, aggravated on mild activity and was relieved with rest, not associated with palpitations or dyspnea. He had a history of fall ( miscalculated dive in a river and hit a stone) trauma to left temporal area 2 years back after which he had a dull headache in that region radiating to occipital lobe . CT scan was advised which showed extradural hemorrhage along right lobar temporal convexity, for which he came to Kamineni hospitals and was treated with T.PARACETAMOL and T.TEGRETOL for 3 months. His complaints subsided and he went back to his home.  After a lot of slow going passive questions, patient got homey and answered few personal questions. He stated there was nothing wrong with his sleep,appetite,bowel/bladder and daily routine. But then like most of the...
Read more