82 yr old male patient with fever and involuntary movements
82 yr old male patient with fever and involuntary movements
September 8th ,2022
Hello, I am Y.Varunkarthik ,a 3rd semester medical student. This is an online elog book to discuss our patients health data after taking his/her consent. This also reflects my patient centered online learning portfolio
CHIEF COMPLAINT
82 year old male patient , resident of muthkur came to opd with a chief complaint of fever since 5 days and involuntary movements in upper and lower limbs.
HISTORY OF PRESENT ILLNESS
Patient was apparently asymptomatic 2 days back. In the afternoon he developed a high grade fever followed by involuntary movements in all the limbs. Tongue biting and uprolling of eye were also there.
Was taken to hospital and medications were given.
But later that night he developed those symptoms again.
He had tongue biting, uprolling of eyes, involuntary micturition and Bowel movements with postictal confusion for around 5 minutes
There is no history of similar complaints in the past
Initially after regaining consciousness he couldn't recognize the attendees but he got better after some time.
HISTORY OF PAST ILLNESS
No diabetes, No HTN, no asthma or any COPD
PERSONAL HISTORY
Patient is farmer by occupation
married
Bowel movement is regular
Micturition normal
Non alcoholic
FAMILY HISTORY
No significant family history
PHYSICAL EXAMINATION
A.GENERAL EXAMINATION
Well built
Well nourished
No pallor
No icterus
No cyanosis
No pedal oedema
No clubbing of fingers
No lymphadenopathy
Mild dehydration
B.VITALS
Temperature
Pulse
Heart rate
BP
INVESTIGATIONS
ECG - 05/09/2022
