FEBRUARY 23, 2023
THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-DENTIFIED HEALTH DATA SHARED AFTER TAKING HER SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.
38 years old female housewife resident of Cooch Bihar complains of both leg pain since one year
Born in Meghalaya in 1983 by normal delivery. Milestones achieved normal.
Education - 10th standard
Patient was apparently asymptomatic until 20 years ago, she complains of headache at parietal region throbbing pain insidious onset radiating to neck and hands accompanied with tingling sensation. Photophobia and phonophobia present along with lacrimation of eyes. Anger outburst at that time. No complaints of nausea or vomitings, headache during sleep, diplopia. Aggreviated in summers relives on taking medication saridon.
18 years ago she had closure of ear piercings and pain on forcefully wearing earrings.
Complains of pain in right calf since 15 years after strenuous exercise relieves automatically. Did not affect her daily routine activities. Pain aggravates in cold condition and relieves after applying Ayurvedic oil locally.
Complains of elbow joint pains, shoulder joint, knee joint, heel joint and distal interphalangeal joints stiffness in the early mornings during winters.
Patient had insomnia and frequent headaches, bleeding from mouth and nose 5 years ago. Went to local hospital BP systolic -240 got diagnosed with hypertension. Prescribed Telma am40/5mg changed to tab Telma 40mmhg since 2 years.
Complains of belching and vomiting accompanied with headache, sweating and palpitations, feels weak and hot three years ago aggravated at evenings and nights, relieves after taking ENO and drinking Sprite.
Patient had body pains and giddiness and increased sleepiness. Got sugar profile tested at home. Drank guava leaf juice and symptoms relieved.
Left lower back pain dragging type insidious onset radiating till left foot since one year aggravated at nights on lying supine or on standing and relives automatically by morning.
15 days ago she got her blood sugars tested FBS-242 PPBS-306mgdl started on medications tab (metformin 1000mg Glimepiride 2mg) BD. Tab Vildagliptin at night.
[16-07-2025 06.22] PPM 1: Aajke glucometer diye char bar sugar check kore janaben.
1) Fasting,
2) breakfast er du ghonta baade
3) Lunch er du ghonta baade
4) Dinner er du ghonta baade
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