July 03, 2024
THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS GUARDIAN'S 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.
A 13 YR OLD MALE WITH REDNESS OF EYES, FEVER, BURNING MICTURITION AND SWELLING OF CHEEKS.
A 13yr old male who is a student, brought by parents with complaints of
Redness of eyes since the 5days
Fever since 4days
Burning micturition since 4days
History of present Illness:
Patient was apparently asymptomatic 5days back after which he developed Redness of eyes, followed by Fever which is high grade insidious onset, gradually progressive associated with burning micturition.
H/o yellowish discoloration of eyes 3days
H/o swelling in both cheeks since 2days
H/o pain and difficulty in flexing left knee since 2days associated with progressive swelling
No H/o recent travel
No H/o similar complaints in the past
PAST HISTORY
N/k/c/o DM, Hypertension, TB, Epilepsy, CVD, Asthama, Thyroid disorders
PERSONAL HISTORY
Single
Student
Diet: Mixed
Appetite: Lost
Sleep: adequate
Bowel and bladder regular
Addictions No
No known Allergies
GENERAL EXAMINATION
Pt is conscious coherent and cooperative
Icterus present
No pallor, cyanosis, clubbing generalized lymphadenopathy, edema
Vitals
Temp: 101F
Bp :110/70 mm Hg
PR :100 bpm
RR: 18cpm
SpO2: 98%
GRBS: 110mg/dl
SYSTEMIC EXAMINATION
Cardiovascular system:
No thrills
S1, S2 are heard
No Murmurs
Respiratory system:
No Dyspnea
No wheeze
Location of trachea: Central
Normal vesicular breath sounds
No adventitious sounds.
Abdomen:
Shape of Abdomen -Schaphoid
No tenderness, palpable mass,
Normal hernial orifice
No bruits, free fluid
No organomegaly
Bowel sounds present.
CNS:
No focal neurological deficit
GAIT: Limping Gait
