Case Presentation

1. CASE PRESENTATION
Presented By
Group 5
1. Dr. Anand Kalaskar
2. Dr. Pranali Bhende
3. Dr. Amol Patane
4. Dr. Rajni Chandre
5. Dr. Rita Singh
6. Vd. Heera Chand Patel

2. AATURVRITTA PATRAK
 Name: Mohammad Shehzad
 Vaya: 28 yrs Sex: Male Religion:
Muslim
 Address: Naya Para, Rau, Indore
 Occupation: Chicken Shop Education: 12th
 Socio-eco Status: BPL Marital status : Married
 Desh: Sadharan Bed No.- 46
 Date of Admission : 03/02/2017
 OPD No. – 2783/2988 IPD No.- 180

3.  PRADHAN VEDANA:
 mHk;tkuq]ef.kca/k]gLriknesa laf/kxzg]“kwy] “kksFk &15o’kZ ls
 pyus fQjusesa vleFkZrk] loZfØ;kld’Vrk&15o’kZls
 VARTAMAN VEDANA VRITTA:
15 o’kZ iwoZ jksxh LoLFk FkkA mlds i”pkr~ o’kkZ _rq esa Toj]
laf/kxzg] izkr%xzg] {kq/kkuk”k] vfoikd vkfn y{k.kksa ds lkFk jksx dk
izknqHkZoA rnuarj ,yksiSFkh vkS’k/kh lsou bfrgklA 8&10 o’kZ rd blh
izdkj dk mipkjA 4 o’kZ iwoZ mlds tkuqxzg ds fy;s nf{k.k tkuq laf/k esa
“kY;deZ fd;k x;k ftlls dksbZ ykHk ughaA /khjs&/khjs mijksä y{k.kksa dh
o`f)A blds mijkUr jksxh mipkj gsrq 03@02@2017 ls fpfdRlky; ds varjax
foHkkxesa izfo’VA

4.  PURVA VEDANA VRITTA:
dksbZ cM+h O;kf/k dk bfrgkl ughaA
 KULA VRITTA:
ekrk laf/k”kwy ls xzLr 2 o’kZ lsA
ifjokj dk izdkj %la;qä lnL;ksa dh la[;k% 06 ¼2 iq=½
 VAYAKTIKA RUPA:
A. vkgkj % fefJr] fu;fer ekalkgkj] eRL; ekal ,oa pkoy dk fu;fer lsou] i;qZf’kr
iz/kku jl %e/kqj] dVq] yo.kA
Hkkstu ds rqjUr i”Pkkr dke djuk] vdky Hkkstu] fo’keklu
{kq/kk & eanA vfXu &eankfXu
B. O;lu % chM+h] flxjsV] xqV[kk] e|iku 15&20 o’kZ ls ysrkk FkkA fiNys 2 lky ls
can fd;k gSA
C. ey izo`fÙk%vfu;fer :ils fpduh ey dh fnu esa 1 ckj] vk/eku
D. ew= izo`fÙk% lkekU; ew= izo`fÙkA
E. O;k;ke % ughaA F. Ekufld fLFkrh% dHkh dHkh fpark] “kksd] nhurkA
G. funzk %vfu;fer] VqV&VqV dj] fnokLoIu] 4&5 ?k.Vk jkf= esaA

5. ASTAVIDHA PARIKSHA
ukM+h% xfr % 82@fe- rky % le iw.kZrk % viwfjr
ew=% lkekU; ew= izo`fÙkA
ey % vfu;fer :ils fpduhey dh fnuesa 1 ckj] vk/eku
ftOgk % eyko`r] [kj] “osrkHk] fujl
“kCn% Li’V] nzqr xfr] ddZ”k] :{k
Li”kZ% “khr] :{k] oke dqiZjlaf/k& m’.kA
n`x ¼us=½ % dksbZ fod`fr ughaA
vkd`fr % LFkwy dk;] mnjesa esn lap;] Moonface, Buffalo
hump

6. DASHVIDHA PARIKSHA :
izd`fr % “kkfjfjd% okrfiÙkt] ekufld% reksjtl
fod`fr % nks’k % okr&dQ nw’; % jl] jä] vfLFk] eTtk
vf/k’Bku % jlog] véog] eTtkoglzksrl
lkj % vojA
laguu% e/;eA
izek.k% e/;e]mpkbZ & 4 QhV 10 bap]
lkRE;% feJ jlA
lRo% e/;eA
vkgkj“kfä% vH;oj.k “kfä % e/;e] tj.k“kfä% voj
O;k;ke“kfDr% vojA
o; % 28 o’kZ

7. SROTAS EXAMINATION
izk.koglzksrl% fod`frizkIr ughaA
mndoglzksrl %fod`frizkIr ughaA
véoglzksrl % v:fp]vfoikd]vfXuEkka|]{kq/kkuk”kA
jloglzksrl% v:fp]xkSjo] lzksrksjks/k]Toj]vkL;oSjL;]
jäoglzksrl %fod`frizkIr ughaA
ekaloglzksrl% fod`frizkIr ughaA
esnoglzksrl% mnjo`f)]esnlap;
vfLFkoglzksrl% laf/kosnuk] laf/koØrk]
eTtkoglzksrl %ioZ”kwy] laf/kxzg
“kqØoglzksrl %fod`frizkIrughaA
ew=oglzksrl %fod`frizkIr ughaA
iqjh’koglzksrl% vfu;fer:ils fpduheyizo`fÙk
Losnoglzksrl% fod`frizkIr ughaA

8. GENERAL EXAMINATION
Pulse Rate : 82/m Respiration Rate : 21/m
Temperature : 99F
Blood Pressure : 130/80mmHg
Body Weight : Kg Built : Obese
General appearance : Anxious Skin : dry
Nails : Pandutva Jaundice : Absent
Cyanosis : Absent Pallor : Present 1
Lymphadenopathy : Absent Hairs : NAD
Oedema : Bilateral pitting pedal oedema present
Mouth/Lips : NAD

9. funku iapd
 funku %
fo’keklu] vdkyHkkstu] e/kqj dVq yo.k jl iz/kku vkgkj] ekalkgkj]
HkkstuksÙkj O;k;ke] i;qZf’kr vkgkj lsou] chM+h] flxjsV] xqV[kk] e|iku vkfn
O;luA
 iwoZ:i %
{kq/kkuk”k] vfXueka|] xkSjo] vkyL;
 :i %
vaxenZ] v:fp] vkyL;] xkSjo] Toj] “kksFk] laf/k”kwy] laf/kxzg
 lEizkfIr %
mijksDr funkuksa ds fujUrj lsou ls okr dk izdksi ,oa vfXueka| gksus ls
dqfir ok;q vke dh v/kksxfr djkrs gq;s “ys’ek ds vk”k;ksa eq[;r% laf/k;ksa esa ys
tkdj ogka fLFkr jl jä vkfn /kkrqvksa dks nwf’kr djds laf/k;ksa esa LFkku laJ;
djds mijksä y{k.kksa dks izxVdjrs gq, vkeokr jksx dks mRié djrk gSA

10. KRIYAKALA
lap; % vkek”k;
izdksi% vkek”k;
izlj% jlog lzksrl
LFkkulaJ;% “ys’ekLFkku] laf/kA
O;fä % vaxenZ] v:fp] vkyL;] xkSjo] Toj] “kksFk]laf/k”kwy] laf/kxzg
vkfn y{k.kksa dh mRifÙk
Hksn % th.kZvkeokr ¼okrkuqca/kh½

11. SAMPRAPTI GHATAK
nks’k% okr
nw’;% jl] esn] vfLFk
vf/k’Bku% laf/k]“ys’ek LFkku
lzksrl% jlog] véog] eTtkog
lzksrksnqf’V% lax] foxkxZxeu
INVESTIGATION
CBC, ESR, BSL ®, PBS for blood picture, RA
factor, CRP, HbA1c, X-ray Both knee joint –AP
& Lateral.

12. DIFFRENTIAL DIAGNOSIS :
vkeokr] laf/kxrokr] okrjä
PROVISIONAL DIAGNOSIS :
vkeokr
FINAL DIAGNOSIS :
vkeokr ¼okrkuqca/kh½
mndZ %
mHk;gLr oØrk] fodykaxrkA

13. Thank You