GM case -2

CASE Scenario…

Hi , I am D. Samhitha , 3rd year BDS student. This is an online eblog to discuss our patient’s health data after taking his consent . This also reflects my patient centered online protofolio. 

CASE HISTORY :

Patient details : A 27 yrs old male named Nagaswamy , resident of Parada village , a businessman presented with 

Chief complaints : Unable to walk since 10 days .

                              Onset- before 10 days 

History of Present illness : Patient was apparently asymptomatic before 10 days . Since 10 days he is unable to walk . He was admitted since one week. He had weakness in both upper and lower limbs and also swelling for nearly 3 days after admitting in the hospital . Now the swelling and weakness in upper limbs is reduced, he is having weakness weakness only in lower limbs at present . 

Motor function and sensation is present but little weak in lower limbs . He is being able to walk for approximately 10 steps maximum and then collapsing . 

History of past illness :

Patient does not have Diabetes, BP , Epilepsy, Asthma , TB, CAD . 

Family history: No history of similar complaints in the family .

Personal history : 

Diet - Usually patient had mixed diet , after consulting the doctor he shifted to vegetarian diet . 

Appetite- Normal 

Sleep - Adequate 

Bowel movement- Regular 

Urination - Normal 

Occasional alcoholic- since 10  years 

General Examination: 

Patient was conscious and cooperative 

Patient was normally built and nourished 

Pallor - No

Icterus - No

Cyanosis - No

Clubbing - No

Lymphadenopathy - No

Edema - No

Q/A:

Will this further lo leads to Edema?