General medicine case-06
Nov 27 2021
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A 17 year old male patient who is a student came to opd with cheif complaints of itchy ring lesions on arms,abdomen,thigh and striae over the abdomen, thighs,upper limbs since 8 months.
History of present illness:-
Patient was apparently asymptomatic 8 months back then he developed ring lesions on arms,abdomen,thighs and he also started developing striae over abdomen ,thighs,upper limbs .He is having facial puffiness since 3 months and also pedal edema since 3 months.
Past History:-
Patient is known case of hypertension since 6 months under regular medication.
Patient is not a known case of diabetes,tuberculosis.
No h/o surgeries done.
Personal history:-
Patient has normal eating habit with mixed diet.
He is not an alcoholic,smoker.
Apetite normal.
Sleep normal.
Bowel and bladder movements normal.
Family history:-
No significant family history.
General examination:-
Patient is conscious ,coherent ,cooperative .
No pallor
Pedal edema is seen.
No cyanosis,clubbing,icterus.
Vitals:
Temperature-Afebrile.
Pulse rate -78 beats/min.
Respiratory rate-17cycles/min.
BP-160/100 mm/hg.
Systemic examination:-
CVS-S1,S2 heard.
Respiratory system-No dyspnea,no wheeze.
CNS:-He is conscious.Speech is normal.No abnormalities detected.
Abdomen-Purple straie seen on abdomen
Investigations:-
Liver Function Test:
Complete Blood Picture:
Glycated Hemoglobin:-
T3,T4,TSH:-
Provisional diagnosis:-?Iatrogenic Cushing's syndrome and Tinea corporis .
