A 60 yr old housewife with h/o Hypocalcemia, Hypokalemia and renal stone complaining of developing nearsightedness

  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.

SRI CHANDANA 


Roll no: 98


8th semester 


The patient is a 60-year-old housewife. In 2013, she had an episode of probable stroke followed by nausea, vomiting, diarrhea, weakness, fatigue with loss of appetite, and insomnia. Her legs felt numb. She lost sensation around neck. 



CHEIF COMPLAINTS:

14 days ago, when making lemon juice, some of it went in her rt. eyes. Due to irritation and burning sensation, also inability to see far objects clearly(nearsightedness) with rt. eye she consulted an ophthalmologist, who diagnosed her to be having cataract in her rt. eye. Eye drops were given.on. 

                                       


I





FAMILY HISTORY : 

Father - died at the age of 57 due to a stroke. Was a pt. of HTN

Mother - low pressure. 

Husband - Diabetic and HTN for the past 3 yrs. Now in control with medication. Hyperuricemia leading to jt. pain

Both daughters suffer from hypothyroidism

CURRENT MEDICATION - 

Aldactone 100

Shelcal 500 (dosage reduced to q.d)

Latoprost rt eye drop

REPORTS:






         Right eye(OD)
      Left eye(OS)




 Hematology report


Troponin I test - negative







PTH - within normal range 64 pg/ml

Urine report 2015



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