61F KNEE PAIN SINCE 5 MTHS

 

THIS IS THE CASE OF 61F WITH KNEE PAIN SINCE 5 MONTHS AND ANTALGIC GAIT

*Case Details:*

*Age/Sex:* 61/F

*C/C:* Pain in left knee since 5 months

*HOPI:*

Patient was apparently asymptomatic 5 months ago. 5 months ago she fell in the gutter due to impact of strong winds and fractured her knee.

Since the incident she had pain. It was insidious in onset, progressive in nature. It is aggravated on walking, relieved on joint relaxation. She took herbal medicine and also physiotherapy which was of no use. Pain is dull. She's experiencing pain on flexion of knee. (Antalgic gait) 👇

                     https://youtube.com/shorts/RgzeHIfJaHQ?si=f-KyPD2U_QzLx-Vi

*Past H/O:* N/K/C/O HTN, DM, Asthma, epilepsy.

*Personal H/O:*

- Attained menopause 5 years back

- Diet - Mixed

- Appetite - Normal

- B&B - Regular

- Sleep - Sound

*Family H/O:* No significance

*General Examination:* Pt is conscious, cooperative, well oriented to time/place/person

Gen Exam:

PICCLE - Absent

Temp - 98.7°F - Afebrile

BP - 120/80 mmHg

PR - 82 bpm

Sys Exam:

CVS - S1S2+

CNS - NVBS

Provisional Diagnosis: Knee OA

61M with polyphagia 6mths, generalized weakness

 30/10/2026

THIS IS THE CASE OF A 61YR OLD MALE, WHO IS A FARMER BY PROFESSION WITH INCREASE OF HUNGER SINCE 6 MONTHS, INCREASE IN URINATION 3 MONTHS AND GENERALIZED WEAKNESS.

61 years / Male / Farmer

C/O:

- Increase of hunger (polyphagia) - 6 months

- Increase in urination - 3 months

- Generalized weakness

HOPI:

Patient was asymptomatic 6 months ago, then developed weakness, polyuria and polyphagia. Duration 6 months. On treatment - Metformin.

Past History:

K/C/O - Diabetes

N/K/C/O - HTN, TB, Epilepsy

No surgeries or complications

Personal History:

Diet - Mixed, Appetite - Increased, Sleep - Adequate, B&B - Increased urination, Addictions - Nil

Family History: No family history

Provisional: Type 2 Diabetes Mellitus

46M SOB, DYSURIA SINCE 1.5YRS, APPETITE DECREASED.TELANGANA

 26/10/2026

THIS IS THE CASE OF 46M WITH SOB, 1.5YRS PAIN SWELLING OF LEG, DECREASED URINE OUTPUT(DYSURIA) 1.5YRS AND APPETITE DECREASED

46 years / Male

C/O:

- SOB - 1.5 years, pain - 1.5 years

- Swelling of leg

- Decreased urine output (Dysuria) - 1.5 years

- Appetite decreased

HOPI:

Patient was apparently asymptomatic 2 years ago, then developed SOB on exertion, gradual onset, progressive, MMRC grade III, aggravated by exercise, relieved by rest. No chest pain, wheezing. Developed pitting edema bilateral feet and hands, gradual onset, progressively increasing. Decreased urinary frequency - 4 times/day.

Past History:

AV fistula -> 1.5 years dialysis, 3 times/week for 4 hrs

Personal History:

Diet - Mixed, Appetite - Decreased, Bowel - Normal, Bladder - Oliguria - 4 times/day, Sleep - Normal

AV Fistula Examination:

Radial Artery - Cephalic Vein, Left forearm

Inspection - Scar +, Swelling +, No Redness

Palpation - Thrill +

Auscultation - Bruit +

Provisional Diagnosis: CKD

40F WITH RIGHT THIGH PAIN AND BACK PAIN SINCE 5 YRS

 28/10/2026

40F HOMEMAKER WITH RIGHT THIGH PAIN AND BACK PAIN SINCE 5 YRS

40 years / Female / Homemaker

C/O:

Right thigh pain - 5 years, Back pain - 5 years

HOPI:

Patient was asymptomatic 5 years ago then developed back pain and right leg pain since due to surgery.

N/K/C/O - DM, TB, Epilepsy, N/K/C/O - Hypertension.

Past History:

Patient met with an accident 5 years ago.

- Femur fracture -> surgery was done

- Rod has removed 1 year ago.

- Patient had hypertension but now it is normal without medication.

Personal History:

Diet - Mixed, Sleep - Adequate, B&B - Normal, Appetite - Normal, Addictions - Nil

Family History: No similar family history

General Examination:

Pulse - 80 bpm, Temp - 98.7 F, Blood pressure - 120/80 mmHg, PICCLE - Absent

Provisional: Post femur fracture - Implant removal - with back pain and thigh pain

56F HEADACHE SINCE 2 MTHS, BLURRING OF VISION (LEFT EYE) 2YRS

 29/10/2026

THIS IS THE CASE OF 56F, HOMEMAKER WITH HEADACHE SINCE 2 MONTHS AND BLURRING OF VISION IN THE LEFT EYE SINCE 2 YRS

56 years / Female / Homemaker

C/O:

Headache - 2 months, Blurring of vision (Left eye) - 2 years

HOPI:

Patient was asymptomatic 2 months ago then developed headache since 2 months and blurring of vision since 2 years. Patient is K/C/O - Hypertension

Past History:

K/C/O Hypertension (Rx: Cilnidipine IP 10mg)

N/K/C/O DM, TB, Epilepsy

- Patient had cataract surgery of right eye 4 years ago

- Patient had hysterectomy 30 years ago

Personal History:

Diet - Mixed, Appetite - Normal, B&B - Normal, Sleep - Adequate, Addictions - Nil

Family History: No family history

General Examination:

Pulse - 80 bpm, Temp - 98.7 F, B.P - 130/80 mmHg, PICCLE - Absent

Systemic Examination:

CNS - c/c/c, CVS - S1S2 +

Provisional Diagnosis: Cataract Surgery / Hypertensive with blurring of vision

45M ACUTE FEBRILE ILLNESS (FEVER)

30/10/2026

THIS IS THE CASE OF 45M, A PHARMACIST BY PROFESSION WITH FEVER 3 DAYS, HEADACHE AND BODY PAINS SINCE 2 DAYS

*Case Details:*

*Age:* 45 yr

*Sex:* Male

*Occupation:* Pharmacist

*C/C:*

- Fever since 3 days

- Headache since 2 days

- Body pains since 2 days

*HOPI:*

Pt was apparently asymptomatic 3 days ago then developed fever which was associated with headache and body pains since 2 days.

No H/O cough, cold, vomitings, loose stools.

*Past H/O:*

N/K/C/O - DM, HTN, TB, Asthma, epilepsy, thyroid.

*Personal H/O:*

- Diet - Mixed

- Appetite - Good

- Sleep - disturbed

- Bowel & Bladder - Normal

- No Addictions

*Family H/O:*

Not significant.

General Examination:

Pt is c/c and well oriented to TPP.

PICCLE - Absent

Temp - 101°F

Pulse - 96 bpm

BP - 120/80 mmHg

RR - 18/min

SpO2 - 98%

Systemic Examination:

CVS - S1S2 +

RS - B/L Normal

CNS - NVBS

P/A - Soft, NT

Provisional Diagnosis: Acute febrile illness (Fever)

Investigations:

- CBC

- Peripheral smear

- Dengue NS1 IgM

- Malaria Ag test

- Urine tests