FEBRUARY 22, 2023
THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.
53 YR OLD MALE PRESENTED TO THE OPD WITH C/O SWELLING OF BACK OF NECK 7 YRS AND RIGHT THIGH SINCE 5 YRS.
HOPI : Patient was apparently asymptomatic 7 yrs back then he developed swelling in back of neck which was insidious in onset gradually progressed to progressed to present size.
5 years back he had H/o trauma + (?wooden stick injury)
6 months later he noticed the swelling Initially started on the right side and progressed to involve first the lateral part for 2 years then progressed to medial part of the thigh also
On prolonged activity there is a little bit increase in size of the swelling with tightening of overlying skin
No pain or restriction of movements
PAST ILLNESS
N/K/C/O Epilepsy HTN DM CAD CVA TB Asthma
Personal history:
Normal appetite takes veg diet (non-veg stopped 2 years ago). He is a garment shop owner, regular bowel habits, normal micturition, no allergies and addictions.
Family History:
Father has hypertension
GENERAL PHYSICAL EXAMINATION
Patient conscious coherent cooperative
Moderately built and nourished
No, icterus, cyanosis, clubbing, pallor, edema, lymphadenopathy
