A 60 year old gentleman developed worsening difficulty in walking after a motor bike accident (Ochna Squarrsal

A 60 year old gentleman developed worsening difficulty in walking after a motor bike accident (Ochna Squarrsal - 2)

Patient Name: Ochna Squarrsal- 2
Age- 61 years
Sex- M
Height- 160 cm
Weight- 73 Kg
Chest- 96 cm
Waist- 99 cm
BP- 125/85 mm Hg
Random blood sugar- 152 mg/dl

Case story in patient's perspective:

1. I had had no problem in childhood but when I was 8 years old a dog scratched me (no history of any vaccination).

2. I had a chicken pox and paratyphoid in 1970 and in 1972, respectively.

3. In 1981, I was experiencing a cough which remained till 1990 with occasionally getting relived after taking some medicines from a doctor.

4. In 1990, I got a fever which lasted for about 20 days and after taking some medicines froma doctors it was subsided later on.

5. Beginning from 1998 I was also having sciatica symptoms which persisted till 2005 and it was relived by taking some homeopathic medicines.

6. In the second week of March 2017, I got a motor bike accident. Although no external injuries were evident at that time but some internal injury was seen in MRI of brain and later I started taking the medicine advised by a neurologist [Prescriptions with reports attached below].

7. While continuing my treatment, 3 more medicines were added [prescription added]. 2 days after starting these 3 new medicines, I have started feeling certain physical problems and difficulty in walking. Although I am thinking that I am supposed to get treatment for my nerves but these are not the medicines given for nerve problem.

8. I experience occasionally indigestion and difficulty in sleeping. I feel heaviness on my legs right after getting up from the bed in the morning associated with a difficulty in walking.

Comments

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

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

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:

BMJ Elective Case Log

Search This Blog