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A 65 year old male patient, resident of Nalgonda, weaver by occupation came to the OPD with
Chief Complaints:
Swelling of right leg since 5 days
Fever since 5 days
History of Presenting Illness:
He was apparently asymptomatic 5 days ago, then he developed increased swelling in right lower limb, sudden in onset, gradually progressive, (foot to thigh), associated with pricking type of pain, aggravated on walking and relieved on rest.
Associated with blisters on leg, local rise of temperature, fever, skin changes and pigmentation.
Fever, moderate grade fever, sudden onset, progressive, not associated with chills and rigour.
Past History:
Known case of filariasis since 15 years
On medication intermittently when he notices increase in swelling of limb (Diethylcarbamazine) (Chymerol Forte)
N/K/C/O Hypertension, Diabetes, Tb, Epilepsy, Thyroid
Personal History:
Diet- Mixed
Appetite- Decreased
Sleep- Adequate
Bowel and bladder: Regular
Addictions: Consumes alcohol consumption
No Allergies
Family History:
Insignificant
General Examination:
Conscious, Co-operative, Coherent
Temperature: 98.6*
PR: 72 bpm
RR: 21 cycles per minute
BP: 100/60 mmhg
Pallor: absent
Icterus: absent
Cyanosis: absent
Lymphadenopathy: present
Edema: present
Systemic Examination:
Respiratory:
Vesicular breath sounds heard
CVS:
S1 S2 heard
No murmurs heard
CNS:
No focal neurological deficit
Abdomen:
Soft and non tender
Treatment history:
1)IV fluids (normal saline 75ml/hr)
2) Inj.PAN 40 mg OD
3)Tab.Dolo 650 mg
4) Inj. NEOLOL 1gm
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