65 y/o Male Parient - Cellulitis

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

Comments

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