66F HYPOGLYCEMIC SEIZURES

A 66-year-old woman, hailing from Narketpally, had a traditional upbringing alongside her two younger brothers and a sister. She lost her father to cancer and mother expired one year later.Despite her education halting at the 8th standard due to marriage at age 10, she embraced homemaking, facing the heartache of losing her first child and later nurturing two sons, one through 12th grade and the other through primary education. Sadly, her husband passed away 25 years ago, followed by her elder son leaving home two years later. Entrusted by her brother, she managed an old age home housing 40 residents, which became her livelihood, earning around 2 lakhs monthly. Using her income, she bought gold for herself and her grandson's wedding. Health issues emerged 25 years ago with hypertension, followed by a hysterectomy due to uterine infection 20 years ago, leading to post-operative complications and weight gain. Diabetes was diagnosed 15 years ago, and recently, hypothyroidism was discovered, necessitating thyronorm 12.5mcg. On occasion, she skips meals when unwell, as on April 29th when feverish, leading to hypoglycemic seizures from missed dinner after taking insulin.

Her daily routine involves rising at 5 am to prepare tea for 60 individuals, followed by overseeing meals and tasks at the old age home, punctuated by a one-hour nap post-lunch. Chitchatting with the other elderly ladies advising how to deal with matters. She is like a gang leader to the old age home ladies.

ECG

LIVER

ABDOMINAL FAT

USG ABDOMEN

Investigation’s

Fundus examination

DIAGNOSIS

HYPOGLYCEMIC SEIZURES

HYPERTENSION

DIABETES

HYOOTHYROIDISM

Comments

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 ...

Participatory medicine

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