38Fyoung onset HTN/DM

38 years old female housewife resident of coochbihar

Complains of both leg pain since one year

Born in Meghalaya in 1983 by normal delivery. Milestones achieved normal.

Education - 10th standard

Patient was apparently asymptomatic until 20 years ago

She complains of headache at parietal region throbbing pain insidious onset radiating to neck and hands accompanied with tingling sensation. Photophobia and phonophobia present along with lacrimation of eyes. Anger outburst at that time. No complains of nausea or vomitings, headache during sleep, diplopia . Aggreviated in summers relives on taking medication saradon.

18 years ago she had closure of ear piercings and pain on forcefully wearing ear rings.

Complains of pain in right calf since 15 years after strenuous exercise relives automatically. Did not affect her daily routine activities. Pain aggreviates in cold condition and relives after applying Ayurvedic oil locally

Complains of elbow joint pains, shoulder joint, knee joint, heel joint and distal interphalangeal joints stiffness in the early mornings during winters.

Patient had insomnia and frequent headaches, bleeding from mouth and nose 5 years ago.went to local hospital BP systolic -240 got diagnosed with hypertension. Prescribed telma am 40/5mg changed to tab telma 40mmhg since 2 years.

Complains of belchings and vomitings accompanied with headache, sweating and palpitations, feels weak and hot three years ago aggreviated at evenings and nights relives after taking eno and drinking sprite.

Patient had body pains and giddiness and increased sleepiness. Got sugar profile tested at home. Drank guava leaf juice and symptoms relived.

Left lower back pain dragging type insidious onset radiating till left foot since one year aggreviated at nights on lying supine or on standing and relives automatically by morning.

15 days ago she got her blood sugars tested FBS-242 PPBS-306mg/dl started on medications tab (metformin 1000mg Glimiperide 2mg ) BD . Tab vildagiptin at night.

Comments

Cases 1-16

Case 1 https://himajav.blogspot.com/2023/08/53f-metabolic-syndrome.html 53 year old female housewife by occupation resident of coochbihar admitted with complains of generalised weakness since 6 years The patient's medical history reveals that she was asymptomatic until six years ago when she presented with weight loss, xerostomia, and anorexia. She sought medical attention at a local medical facility, where she was diagnosed with Diabetes mellitus and subsequently initiated on oral hypoglycemic agents. Around four years ago, the patient began experiencing generalized asthenia and easy fatigability, leading to the diagnosis of both Hypertension and hypothyroidism. Approximately four years ago, the patient complained of cervical discomfort, prompting a diagnostic consideration of cervical spondylosis. This condition was managed with a course of physiotherapy. Currently, the patient reports intermittent occurrences of generalized asthenia, easy fatigability, and xerostomia. She also...

30M WEIGHTLOSS

A 30-year-old male presented with a history of progressive weight loss over the past year. Symptoms commenced in November 2022 with severe abdominal pain and vomiting, initially attributed to roadside food consumption. Recurrent monthly episodes of abdominal pain, bloating, and vomiting/loose stools persisted until April. Diagnostic workup, including abdominal scan, CBP, ESR, CRP, TTG antibody, LFT, RFT, sputum for AFB, chest X-ray, Quantiferon Gold for TB, and Montoux test, yielded normal results except for elevated CRP. Ayurvedic treatment resulted in symptom improvement, but weight loss persisted. From November 2022 to April 2023, he lost 10 kgs and maintained stability at 48 kgs thereafter. CRP levels correlated with symptom exacerbations, decreasing post-treatment. Presently, he experiences diminished appetite, eating only twice daily, despite previously consuming 4-5 meals. Daily schedule and eating patterns outlined. . [27/11/23, 10:31:59] ~ A: ‎~ A created this group ‎[28...

49F DM2 NUD ABD BURNING SENSATION

NOTE: THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. DIAGNOSIS : ACUTE GASTRITIS WITH LOWER ESOPHAGEAL SPHINCTER 49 year old female born by natural delivery on 05-06-1973. Born and bought up in coochbihar North Bengal. Milestones achieved normal. Childhood was pleasant. Went to school by walk 1.5kms near to home. Comes back home and played games like coco, jumping,running, finishes homework and goes to bed. She lives with her family - 9 siblings,parents and grandparents all live together At age 11 she lost her father due to heart stroke secondary to hypertension. She is very close to her younger brother during her childhood but the same relatio...

Himaja

Search This Blog