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65 y/o Male Parient - Cellulitis

​This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box.

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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