73 M POST TB SEQUELAE

 73 year old male came from nereducherla to opthalmology OPD with 

CHIEF COMPLAINTS

of diminished vision in left eye since 2 years 

HISTORY OF PRESENT ILLNESS 

Patient was apparently asymptomatic 2 years ago then he developed diminision of vision in left eye which was insidious in onset gradually progressive . No history of watering , redness, pain.

PAST HISTORY 

NO HISTORY OF SIMILAR COMPLAINTS IN THE PAST

HISTORY OF PULMONARY TUBERCULOSIS 30 YEARS AGO -  he presented with fever - low grade not associated with chills and rigors , evening rise of temperature is present relieved on taking medication.

He had cough with sputum (hemoptysis ) 30 years ago and shortness of breath grade 3-4 and was admitted in hospital and was started on ATT.he was in the hospital for 1 month later he got discharged and continued att for 1 more month. Stopped taking att after 2 months as he felt that it is making him qeak and his illness has already subsided.

Not a known case of diabetes, HTN , broncial asthma , cva and cad.

He met with a Road traffic accident 20 yaers ago and had fracture of right radius  and got operated (?malunion )

TREATMENT HISTORY 

Used ATT for 2 months 30 years ago 

Got operated for right radius fracture 20 years ago

PERSONAL HISTORY 

Married 

Egg seller stopped working from 30 years 

Appetite is decreased

Non vegetarian 

Bowel and bladder regular 

Alcoholic : consumes toddy regularly 

Smoker : 1-2 chuttas / day aince 60 years 

FAMILY HISTORY 

MOTHER - DIABTIC

died 40 yars ago with tuberculosis 

ELDER BROTHER - died with tuberculosis 30 years ago

YOUNGER BROTHER- died with tuberculosis 30 years ago


GENERAL EXAMINATION 

patient is concious , coherent , cooperative 

Moderately built and nourished 

Bp:120/70 mmHg

PR : 85bpm 

RR : 20cpm

Spo2 : 98% on room air

Temp 98.6F

no pallor 

No icterus 

No cyanosis

No clubbing 

No lymphadenopathy 

No edema


SYSTEMIC EXAMINATION 

CVS 

S1 S2 HEARD 

NO MURMURS

JVP NOT ELEVATED

PER ABDOMEN 

SOFT NON TENDER 

NO ORGANOMEGALY

BOWEL SOUNDS HEARD


CNS 

HIGHER MENTAL FUNCTIONS INTACT

CRANIAL NERVES NORMAL

MOTOR SYSTEM NORMAL

SENSORY SYSTEM NORMAL

CEREBELLAT FUNCTIONS NORMAL

RESPIRATORY SYSTEM 

































PATIENT SPUTUM AFB WAS NEGATIVE

CBNAAT WAS POSITIVE 

ATT WAS STARTED AS 4 TABS/DAY 

Attempted to contact the patient via calls, but they were not reachable.


OUTCOME - LOST FOLLOW UP




Comments

Post a Comment

Popular posts from this blog

THESIS BLOG LINKS

 1.  https://drkeerthimadireddy.blogspot.com/2023/04/57m-mdr-tuberculosis.html 2.  https://drkeerthimadireddy.blogspot.com/2023/04/67m-ptb-with-uncontrolled-type-2-dm-htn.html 3.  https://drkeerthimadireddy.blogspot.com/2023/04/80m-ptb-cap-aki-rhf-htn.html 4.  https://drkeerthimadireddy.blogspot.com/2023/04/67m-ptb-chronic-pancreatitis.html 5.  https://drkeerthimadireddy.blogspot.com/2023/04/20m-ankle-tb.html 6.  https://drkeerthimadireddy.blogspot.com/2023/04/64m-tb-meningitis-aki.html 7.  https://drkeerthimadireddy.blogspot.com/2023/04/65m-tuberculosis.html 8.  https://drkeerthimadireddy.blogspot.com/2023/11/48f.html 9.  https://drkeerthimadireddy.blogspot.com/2024/01/49-m-ptb-denovo-dm.html 10.  https://drkeerthimadireddy.blogspot.com/2023/04/60f-ptb-dm2-cad.html 11.  https://drkeerthimadireddy.blogspot.com/2023/04/50m-ptb.html 12.  https://drkeerthimadireddy.blogspot.com/2023/07/55m-malnutrition-ascitis-tb-peritonitis.html 13.  https://drkeerthimadireddy.blogspot.com/2023/07/60m-so
Read more

67/M PTB CHRONIC PANCREATITIS

Image
A 67 year old male, resident of kodhada, farmer by occupation, came to the hospital with chief complaints of: Pain Abdomen since 3 months.  HISTORY OF PRESENTING ILLNESS:  Patient was apparently assymptomatic 3 months ago, then he developed pain abdomen, which is continuous, insidious in onset, gradually progressive, squeezing type, non radiating, aggravated on coughing and deep inspiration and relieved on lying down down on right side. H/O loss of weight from the past 3 months (10kgs)  No H/O vomitings or gurgitation No H/O malena No H/O hematemesis No H/O nausea No H/O cough No H/O fever PAST HISTORY:  Pt is Not a K/C/O DM / HTN / TB / Asthma / Epilepsy / CVA / CAD H/O NSAID use on and off from past one year, but continuously from the past 3 months. No previous surgical history No drug or food allergy  No previous history of TB  PERSONAL HISTORY: Appetite: Decreased due to pain Diet: Mixed Sleep: adequate Bowel and bladder: regular Addictions:  History of Alcohol consumption since 47
Read more

57/M MDR TUBERCULOSIS

Image
  A 57 yr old male lorry driver resident of gopalayapalli came to opd with chief complaints of  generalised body swelling since 1 month  decreased urine output since one month chest pain since 4 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic one month back later he developed swelling of face followed by abdomen and limbs which is pitting type since one month.  He had decreased urine output since one month.Intially there was dribbling of urine later there was complete stoppage of urine. He had chest pain since 4 days which was sudden in onset, dragging type,radiating towards back,and aggravated at night. H/o low grade fever associated with chills intermittent since one month. H/o shortness of breath (grade 3) since 1 month  H/O cough associated with sputum since one month and not relieved on medication. It is not associated with chest pain and no diurnal variation. Sputum is blood tinged. He had 9 sessions of dialysis (on alternate days) from one month last sessio
Read more