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1601006074 SHORT CASE

 

1601006074(SHORT CASE)

FINAL MBBS EXAM- SHORT CASE

"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 our 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-centered online learning portfolio and your valuable inputs on the comment box is welcome."

 CASE:

A 35 year old male patient resident of ramchandrapuram,  daily labourer by occupation came to the  OPD with chief complaints of painless small lesions associated with redness since 3 months.
He is a chronic alcoholic (drinks 90ml daily) and chronic smoker (smokes one beddi packet every 2 days).
 
The lesions initially appeared on the face and the progressed to involve the trunk, hands and feet. 

Not associated with discharge and loss of sensations.

The patient used topical cream prescribed by the local doctor for 2 months and some lesions subsided.

H/o blackish discoloration of the skin of hands and feet associated with crusting and peeling of the skin, burning sensation and redness all over the body since 14 days.

H/o low grade fever since 4 days associated with chills and rigors.

H/o loss of appetite.

No similar complaints in the past.

EXAMINATION:

Face: loss of eyebrows and ear lobe is thickened.

Oral cavity:  dark erythematous lesions on the palate.

Trunk: multiple hypopigmented patches with ill-defined borders and with diffuse erythema on the front and back. These lesions are also seen on the limbs. No loss of sensations.

Limbs: dark pigmentation on the sides of the legs with peeling of skin.

 PROVISIONAL DIAGNOSIS:

Hansen's disease.

Culture and sensitivity report:

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