Skip to main content

A 63-year-old male presented with muscle cramp and skin lesions over right leg and thigh

A 63-year-old male with a history of 3 years diabetes mellitus is complaining of muscle cramps at the back of his left thigh while walking for last 3 days. He has a hstory for diabetes mellitus type 2 for past 3 years. He is not taking any medicines for his diabetes. On general examination, he has no anemia, jaundice, cyanosis. He has no hepatomegaly or splenomegaly. His BP is 135/85 mm Hg. Cardiac and respiratory examination is normal. On skin examination, he has reddish non-pruiritic, painless skin lesions over the anterior-lateral aspect of lower right thigh and right leg for the same duration. He never had these lesions before. (his skin lesions are attached below). His random blood glucose level is 9.1 mg/dl. 



Comments

Post a Comment

Popular posts from this blog

Consent Forms

Hindi BMJ Consent form   Bengali BMJ Consent form English BMJ Consent form   Telegu BMJ Consent Form Telegu BMJ Consent Form   UDHC Consent Form                
6 comments
Read more

55 years Old male with Bipolar affected disorder moving from depression to Manic to depression phase

Disclaimer:- This is a HIPAA de-identified open-online-patient-record with initial information in patient's voice, posted here December 2017 after collecting informed patient consent (form downloadable Click Here) This is a case of a 55 years old, diabetic, hypertensive patient who was diagnosed with Bipolar affected disorder since 1995. In 1995 due to financial loss he was attacked by this condition. He was seen by Dr. D. K Agarwala and diagnosed as BPAD-Depression phase and treated with lithium, sodium valporate, propranolol, Zeptol cr, Nitrosum - S.  With the treatment he was reasonably well but every 6 months of interval he appeared to have some disturbance like didn't want to talk to anybody, forgot to smile etc. They went to the doctor and treated accordingly and was continuing the treatment.  In the year of 2013, August he was diagnosed with BPAD-severe depression phase but, he was not responding well to the medications and then they went to NIMHANS for...
Post a Comment
Read more

60 year old woman with hypothyroidism and SIADH

This patient is a 60 year old woman with recent vomiting, coma (sodium 107) and clinical features of dull apathy, skin coarsening, bradycardia, areflexia strongly suggesting hypothyroidism. Serum osmolality and urine sodium are suggesting SIADH. Thyroid profile: Our patient's current dose of sodium is 10ml per hour and she is having mild hypotension at times and in her blood sugar recordings hypoglycemia (attached below) was noted. In brain imaging, empty Sella is noted (attached below).  Most of the data we have till now is suggesting hypopituitarism Online Discussion:   
5 comments
Read more