A 63yr old male came with chief complaints of bilateral knee pain and knee stiffness since 2 to 3 yrs
12/4/23
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Name: Manvitha (intern)
A 63yr old male came with chief complaints of bilateral knee pain and knee stiffness since 2 to 3 yrs
Aggrevated since 2 to 3 months
History of present illness:
Patient was apparently a symptomatic to 3 years back then he developed bilateral knee pains insidious in onset, gradually progressive to the current stage . joint stiffness present, can’t get up from sitting position decreased range of movements difficulty in extension of knee tingling sensation of both upper and lower limbs present ,back pain on and off Radiating from Lower back to both hips, swelling not present, No redness, no history of trauma , Pedal Eddie Maher present below knee on prolonged sitting. No history of decreased urine output, no burning micturition , sob present grade 2 , no cough , no palpitations, no chest pain , no abdominal pain , no constipation, no loose stools , no fever
Past history :
N/k/c/o DM,HTN, CVA, CAD , TB , epilepsy , asthma
Personal history :
Occupation : farmer
INVESTIGATIONS:
PROVISIONAL DIAGNOSIS:
Bilateral osteoarthritis of knee joint with grade 1 pristine valu with right mild hydroureteronephrosis
TREATMENT:
On 11/4/23
Tab.shelcal 500mg PO/OD
Tab. Ultracet PO/BD
Tab. PAN 40mg PO/OD
On 12/4/23
Tab.shelcal 500mg PO/OD
Tab. Ultracet PO/BD
Tab. PAN 40mg PO/OD
Tab.pregabalin m-75 PO/H/S
TAB neurokind LC PO/OD
SYP ALKASOLE 15ml PO/BD
TAB TAMSULOSIN-D 0.4 PO/OD
On 13/04/2023
Tab.shelcal 500mg PO/OD
Tab. Ultracet PO/BD
Tab. PAN 40mg PO/OD
Tab.pregabalin m-75 PO/H/S
TAB neurokind LC PO/OD
SYP ALKASOLE 15ml PO/BD
TAB TAMSULOSIN-D 0.4 PO/OD
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