Note: This is an online E Log book recorded to discuss and comprehend our patient's  de-identified health data shared, AFTER taking his/her/guardian's signed informed consent.

Dhanush Chandra J 50
D .Sri Charan 28

Case report : 
A 85 year old male 


Cheif Complaint:
Patient was apparently asymptomatic 1 month ago , the patient developed c/o pain in both sides of chest since 1 month with diminction of vision in left eye . He was apparently asymptomatic 3 years back and developed blebs in RT LL . F/B cellulitis . Then same thing happened for Lt.LL after 6 months then he developed HTN .

Patient A/H/O slip and fall in bathroom . 
C/O pain in the left groin Regoin 
Difficulty to stand and bear weight over Lt.LL .
He developed pain and sudden onset and progressive , continuous pain and aggregated pain with attempt to movement of LtLL 

History of Present Illness :

H/O use of analgesics Medication 8years back and got diagnosed with AkT 4 years back . Then stopped using Analgesics . 
Skin Grafting for medial aspect of both legs . 

History of Past illness : 

K/C/O HTN since 2 1/2 years . 
No K/C/O DM , TB , Asthma , Thyroid

Local Examination: LThigh
Inspection:
Skin - N 
No obvious swelling 
Palpation : 
Tenderness + over proximal 1/3 Lt.thigh
Local rise of temperature .
Active toe and ankle movements + 
Sensations + 


General Examination: 
Patient was Conscious, Coherent and Cooperative.
Vitals :
BP : 120/90 
PR : 94 bpm 






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