Skip to main content

58M ERECTILE DYSFUNCTION 1yr with ?UTI

 

This is an online Elog book to discuss our patient deidentified health data shared after taking his/ her guardians sign informed consent

Here we discuss our individual patient problems through series of inputs from available Global online community of experts with n aim to solve those patient clinical problem with collect current best evidence based input

This Elog also reflects my patient centered online learning portfolio.

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


Chief complains
Lower back pain since one month

PRESENT HISTORY

Patient was apparently alright 15 years ago then had non healing ulcers in right medial thigh went to local hospital and diagnosed with diabetes, started on OHAs

Since one year patient had complains of Burning Micturition Intermittent accompanied with Dark yellow coloured urine.
Patient also complains of erectile dysfunction 

Since two months patient complains of white discharge, non-foul smelling , non-itching.

Since one month patient complains of lower back pain insidious onset, intermittent, prickling type of patient radiating to loin. No aggreviating and relieving factors 

Since two days patient had complains of cold associated with Dry cough. No sore throat
Occasional low grade fever not associated with chills and rigor , on and off.
Occasional flatus- foul smelling

PAST HISTORY
Known case of DM-2 since 15years 
On tab Glimi M1 po/od
On Tab metformin 500mg po/Od 

Not a known case of HTN/thyroid/cad/Cva/TB

PERSONAL HISTORY

Married
Daily wage labourer, truck driver
Appetite- normal
Diet- non vegetarian 
Bowels- regular
Micturition- abnormal
Allergies- no
Addictions
No alcoholic history
Started smoking 2 beedi/day since two months due to health anxiety 

FAMILY HISTORY

mother is a known case of diabetic and had history of stroke

GENERAL EXAMINATION

No pallor, icterus, cyanosis, clubbing, lymphadenopathy, edema

BP-110/70mmhg
PR - 70bpm
GRBS
Spo2-98% at RA

CVS- s1s2 heard, no murmur
R/S- BAE present, NVBS
P/A- Soft,NT
CNS- NFND








PROVISIONAL DIAGNOSIS

Erectile Dysfunction with ?UTI
Lower Back pain under evaluation- ?Renal calculi
DM2 since 10 years

INVESTIGATION 

ECG


UROLOGY Referal in view of erectile dysfunction 






Comments

Post a Comment

Popular posts from this blog

PROJECT

TITLE:-   BIOPSYCHOSOCIAL FACTORS INFLUENCING OUTCOMES IN PATIENTS WITH ABDOMINAL OBESITY AND MULTISYSTEM COMORBIDITIES  By Dr. VEMULAPALLI HIMAJA (General Medicine PG) Team Members- Dr. Rakesh Biswas(MD General Medicine), Dr.Vishwak (MD PSYCHIATRY) INTRODUCTION Abdominal obesity may be defined as excess deposits of fat in the abdominal region. It is a common health condition seen in South Asians and is positively related to non-communicable diseases (NCDs). It is independent of body mass index and measured by raised waist circumference for men≥90 cm and women≥80 cm1 Waist circumference (WC) and waist-to-hip ratio (WHR) are widely used as indirect measures of abdominal or central adiposity in epidemiological studies. Although the definition of abdominal obesity remains in dispute, the cutoffs for WC (102 cm for men, 88 cm for women) and WHR (0.95 for men, 0.88 for women) were recommended by the American Heart Association and the US Department of Agriculture2 Abdominal obesity ...
Post a Comment
Read more

Participatory medicine

 Reflecting on my experiences as a patient advocate and a physician, I’ve seen both the strengths and the shortcomings of participatory medicine in action. Each patient’s journey has been unique, with moments of progress and empowerment, but also instances of struggle, especially when navigating issues like privacy, confidentiality, and security. The Good One of the most rewarding aspects of participatory medicine is seeing patients and their families become actively involved in care. For example, in the case of the 65-year-old man with chronic vomiting, there was a clear effort to include the patient in discussions about his symptoms and potential diagnoses. This active participation helped foster trust and engagement, even though the diagnostic journey was long. In chronic conditions like HFpEF and CKD, I’ve seen how educating patients about their disease helps them feel more in control. It’s encouraging to witness patients taking ownership of their health by asking questions and...
Post a Comment
Read more

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...
Post a Comment
Read more