GM case_2

  Feb 28 
Case Scenario.....
Hi,I am G.Amulya,3rd BDS student.This is an online eblog book to discuss our patients health data after taking his consent.this also reflux my patient centered online learning portfolio
                           CASE HISTORY
Patient detail
A 56 years old male , occupation-farmer, resident of lingotam presented with
CHIEF COMPLAINT
Wound on his middle toe of left leg since one month
Pain of that toe since one week 
Fever since one week
HISTORY OF PRESENT ILLNESS
Patient was apparently asymptomatic one month backand had injury on his toe of left leg during his farming work,leading to infection_ firstly it was a small ulcer bt next it starts progressing day by day and discharging pus
Pain- aggrevieting since one week
Fever-patient is suffering with high grade fever, continuous all the day, but relievingon medication,fever associated with chills and shivering.
PAST HISTORY
Diabetic-since 7 years, On injectables(insulin)
Hypertension-since 7 years 
Came to know his diabetic and hypertension conditions on medical checkup
He had his past limb surgery,removal of all toes of right leg before 3 years
PERSONAL HISTORY
Diet- mixed diet
Apettite- more
Sleep - not adequate due to fever and pain of his toe
Bowel/Bladder-reggular
Addictions- alcoholic, occassionally
FAMILY HISTORY
No similar complaints
GENERAL EXAMINATION
Normal well built
Nourishment-good 
Pallor- present
Icterus-absent
Cyanosis- absent
Clubbing-absent
General lymphadenopathy- absent
Edema- absent

       ---- PROVISIONAL DIAGNOSIS___
     Wound get more infected due to diabetes 

Q/A
1.Does the wound infects the whole leg?
2.Is there any alternate treatment istead of surgical removal?
3.Does the wound is curable in early diagnosis?
4.How to treat the wound to cure early?


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