A 75 YEAR OLD MALE WITH BILATERAL KNEE JOINT PAIN AND NUMBNESS
NOTE: THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS/HER GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.
This case report aims to record the patient's journey.
CHIEF COMPLAINTS :
Knee joint pain and numbness of both the legs since 2 months
HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 2 months ago then developed
Bilateral knee joint pain:
which was insidious on onset
gradually progressive in nature
The pain was of dragging type
Aggravated on walking
Releives on sitting and rest
Bilateral numbness of foot :
Continuous in nature
Relives on medication
No history of fever, morning stiffness
PAST HISTORY
HTN since 3 years
N/k/o diabetes, TB, Asthma, Epilepsy.
No previous history of any surgeries.
FAMILY HISTORY
Not relevant
PERSONAL HISTORY
Diet mixed
Appetite normal
Sleep adequate
No addictions
No allergies
Regulat Bowel bladder movements
GENERAL EXAMINATION :
Patent is conscious coherent cooperative and was examined in a well ventilated and well lit room with consent
No pallor
No icterus
No cyanosis
No clubbing of fingers
No lymphadenopathy
No edema
VITALS:
Temperature Afebrile
BP 130/80
Pulse rate 93 beats per minute
Respiratory rate 15 breaths per minute
LOCAL EXAMINATION :
INSPECTION:
No scars, sinuses, pigmentation, erythema, deformities.
Swelling on the knee joints
PALPITATION :
No local rise of temperature
No tenderness
DAILY ROUTINE :
Patient wakes up at 7 am in the morning, have his breakfast and go for farming. Comes back for lunch and will take a nap till evening. He will have his dinner and sleep 10 pm
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