A PATIENT OF UNCONTROLLED SUGARS

This is 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 patients clinical problems with collective current best evidence based inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome.

A 18 year old male patient presented to casuality with the chief complaints of weight loss  excessive apettite since 1 year

HISTORY OF PRESENT ILLNESS :
Patient was apparently asymptomatic 1 year back then he noticed loss of weight  and unable to gain weight inspite of taking adequate diet
He also had excessive apettite.
No history of fever


HISTORY OF PAST ILLNESS ;
No history of similar complaints in the past.
No history of Asthma ,TB, Hypertension , diabetes and epilepsy
Patient has speech disturbance since birth

PERSONAL HISTORY : 
Diet : mixed
Appetite : excessive
Bowels : regular
Micturition : normal
No addictions

FAMILY HISTORY :
No significant family history

DRUG HISTORY:
no history of any medication
No history of allergy to known drugs

GENERAL EXAMINATION:
patient is conscious ,coherent, cooperative and we'll oriented to time place and person
No pallor
No icterus 
No cyanosis
No clubbing of fingers
No lymphadenopathy
Built : lean
No pedal edema
VITALS:
Temp: afebrile
Bp:110/80 mmHg
Resp.rate : 18cpm
Pulse rate : 80 bpm
SYSTEMIC EXAMINATION 
Abdomen :
Shape of the abdomen : obese
Flanks full
No visible scars 
No sinuses
No visible pulsations
No local rise of temperature and no tenderness 
No organomegaly 
No ascites
RESPIRATORY :
Shape of the chest elliptical and bilaterally symmetrical
Trachea central
Bilateral air entry present
Vesicular breath sounds
CVS:
Shape of the chest elliptical and bilaterally symmetrical
Apex beat at 5th intercoastal area 
S1&S2 heard
No murmurs
CNS :
Patient is conscious coherent coperative and well oriented to time place and person
Memory intact
Sensory system normal
Motor system normal
Cranial nerves intact
Provisional diagnosis :
Uncontrolled sugars
Investigations :
Complete blood picture
Urinalysis
Fasting blood sugars
Post prandial blood sugars






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