2. Clinical symptoms
Pt c/o swelling around the left since 1 month
which is insidious in onset with gradually
progression associated with evening rise of
temperature elbow
A/h/o ?? Fall while playing 2 months back, At
that time there was no significant swelling but
there was pain and tenderness around left elbow.Pt
kept in above elbow slab for 2 weeks.Pt was
asymptomatic for 1 month or so.
3. No h/o Koch / koch contact /any
major illness
No family history of Koch
Pre , Natal , Postnatal history is
normal
4. On examination
General Examination : Vitals were stable. No
P,I,C,C,L,E
Local Examination:
Left Elbow Swelling over the proximal forearm
around 4 by 4 cm, diffuse, soft to feel
Local rise of temperature
Overlying Skin is normal and can be pinched
3 point bony relation of elbow maintained
16. Post op treatment
Empirical Antibiotics Inj Augmentin and Inj Amikacin
for 5 days till reports
Culture report No growth
Histopathology report Tuberculous Inflammation
Montoux test 15mm induration
Started on AKT CAT 1 30/4/14 after eye
examination by opthalmologist