Skip to main content

A 33 Year Old lady (Ocimum Americanum L) with hypothyroid problem presenting with a leg pain and high TSH

Patient Name -- Ocimum Americanum L - 2 Age - 33 y Sex - F 

 Height- 4' 8'' Weight- 57 kg Waist 92 cm  Chest 102 cm 

 BP- 124/80 mm Hg Pulse- 69/min Fasting sugar 86 mg/dl 

Case story in patient's perspective:

1. I never had any problem during childhood.

2. My periods were started at the age of 12 and had no problem at that time. 

3. I got married at the age of 16 and gave birth to a child right after 2 years of marriage by normal delivery. 

4. I did abortion of three (3) fetuses, two by taking drugs and one through washing. 

5. In 2015, some of my relatives were telling that "you seems to be swelling and you should get a consulation from a doctor". I took their advice and went to visit a nerve doctor. Doctor asked to do a thyroid test which revealed TSH 10.6 (At 21.11.2016) and he (doctor) prescribed a thyroxine 50+12.5 mcg tablet before breakfast. 

6. After taking the medicine, the swellings were reduced but from last 27.08.2017 I have follwoing problems- 

           - Numbess and pain in the back of head.

           - Pain in the sole of feets after prolonged walking and when I am lying down     

              in the bed.

           - Can not hold my hands straight for a long time. 

           - Have mild pain/discomfort at the middle of the vertebral column. 

7. I have a problem of hyperacidity, can not sleep well at night, have less appetite, can not pass stool clearly, do pass urine but it is foul smelled. 







 

Comments

Popular posts from this blog

57 Year Old female with goiter and thyrotoxicosis

This 57 year olf lafy presented with neck swelling, anxiety and tremor. Her medical information is attached below: We need to take a decision on this lady. To operate or not to operate. Now that our clinical suspicions of thyroticosis have been proved and malignancy not proved (not disproved either) what would be the next best step? Medical management for her thyrotoxicosis or still get an excision biopsy with sub total thyroidectomy (and subtotal thyroidectomy other than disproving malignancy will also become treatment for her hyperthyroidism). So which one should we prefer (if the family has no reservations from their side)?

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                

A 55 year old man with childhood asthma and Acute exacerbation of COPD

This is a 55 year old man in ICU with severe hypercapnia refractory to positive pressure ventilation with PCO2 ranging from 100-120 mm of Hg after 24 hours of ventilation. He appeared to have a history of Bronchial asthma since childhood. Perhaps for the last 45 years. His last three years appear to have been spent in perennial shortness of breath and wheeze. He has a barrel shaped chest and his CXR pa shows pushed down diaphragms. He was referred from a nursing home on a ventilator ambulance and his ABG during admission was showing a PCO2 of 90. After 24 hours of ACMV with a RR of 20 and tidal volumes of 400 ml his PCO2 increased to 120s.  This case of AECOPD with resp. Acidosis on mechanical ventilator was found to have total WBC count increasing overtime (15300 (ICU 2nd Day)/ 18500/ 27500/ 35600 (13th day). So, we started empirically with Clavum & Augmentin and later on planned for meropenam & Colistin antibiotic based on further deterioration in Total WBC Count....