22 year Female with left lower limb swelling

- November 08, 2021

Medicine case discussion

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Name - S.Kavya, 9th sem

Roll no - 121

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

22 year old female patient daily wage worker by occupation presented to the opd with complaints pain and swelling in the left lower limb since 1 month patient was apparently asymptomatic 1 year ago then she had round lesions which are associated with itching then they went to local rmp and used topical ointment for period of 3- 4months , But pt did not get any relief so they again went to RMP then pt was prescribed with avil and decadran injections . Patient used them for a period of more than 4 months, Even then she did not get relief for her skin lesions . 3 months ago she had fever then she underwent some investigations and she was found to be DIABETIC ad was onTAB Metformin 500mg po OD and on injectionmixtard subcutaneous 6U -x-x

History of pain in the left lower limb since 1 month denies history of trauma later on swelling appeared which got burst with pus discharge and underwent aseptic dressing for 1 week laterit got progressed and pt is unable to walkdue to pain .

History of fever since 1 to 2 weeks on and off subsiding on taking medication, it is associated with nausea and no history vomiting , loose stools

History of facial puffiness since 3 months