70 yr old female with hypoglycemia

October 30, 2021

70 yr old female with hypoglycemia

MEDICINE CASE DISCUSSION

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centred online learning portfolio and your valuable comments on comment box is welcome

M Rambai ,9th semester

Roll number 78

I've been given this case to solve in an attempt to understand the topic of "Patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.

CASE

My case is of 70 year old female , resident of Suryapet,does agriculture work came with the chief complaints of sudden loss of speech on waking up from bed .

HISTORY OF PRESENT ILLNESS

She was a known case of diabetes since 5 years ,and on medication .she is daily taking her medication ,and also took her medication 3 days back,then she slept .In the morning she didn't wake up,so her son went and woke her up ,but she not responding , her eyes were open but she has become speechless ,they took her to local hospital and took treatment and she became alright ,and then took her home.later,on the same day ,she took medication and slept ,but on morning she again became speechless with eyes open , and her mouth deviated to other side ,and her wrists tightly folded.so her son brought her to our hospital .

She has swelling over the ankles from 3 days

She also has cough ,cold since 3 days.

Cough was associated with sputum and non blood stained.

She is a known case of Hypertension since 3 years and on medication.

PAST HISTORY

There is no history of Diabetes, hypertension,asthma , tuberculosis.

PERSONAL HISTORY:

Diet - mixed

Appetite - normal

Sleep - adequate

Bowel and bladder- regular

Addictions - no addictions