Sanjana's blog

12 yr old boy was brought by parents to the OPD with the c/c fever on & off and joint pains since 2 months. Mother tells 'my child is 12yr old. He is always active, his school performance is good..  He was admitted in hostel 2yrs back. On 25th of December 2018, we received a call from hostel that our boy is having cold and fever for which we brought him home. We took him to hospital and it was recorded as high grade fever a/w chills, no rigors and the fever got subsided with medication for about 3 days. And as he was back to normal we sent him to hostel. He returned home on 14th of January 2019 for vacation, and I noticed that my son is limping and something is wrong with his left leg. On asking he denied and said it was all okay.. he again developed high grade fever on 18th of January with pain and swelling in the left ankle joint and was unable to walk for which we took him to govt.hospital where he was given calcium supplementation. After that he felt better and we sent h

I am 17yr old and I am unable to walk..not even stand.. i can't bear my own weight. I was born normal from a 3rd degree consanguinous marriage. I was the first child for my parents I had two brothers. Both of them are completely normal. I used to walk normally like other kids.. I used to play.. my thighs started bending (bowing) slowly when I was 7. It gradually progressed and I developed knock knees for which I had surgery at the age of 10 yrs for my left leg and at the age of 12 yrs for my right leg (B/L supracondylar osteotomy) I was quite normal for about some time then again my thighs started bowing again. I started using stick at the age of 15, I always needed someone to hold me while I walk.. I had multiple fractures in my left lower leg with trivial trauma. But my right leg is normal. On enquiry... there was anterolateral bowing and fracture of left femur after severe pain for about 3 days which was treated conservatively by applying POP and traction. On examination He

25 yr young lady had vomitings 2 episodes , diarrhoea 2 episodes and then felt giddy, loss of consciousness, for which she went to local hospital and there she was given glucose (2 bottles) After which she developed abdominal dissension followed by facial puffiness followed by swelling of upper limbs and lower limbs. Associated with decreased urine output and was referred to higher centre.. all of a sudden she was diagnosed as C/O ACUTE KIDNEY INJURY... and she was on Dialysis. Past history:she was 3rd child for her mother after 2 girls.. no h/o birth injury. mile stones achieved as per age.  she was normal up to her age of 12yrs. One day she developed low grade fever after 2 days she developed swelling in her right knee.. she was unable to squat. Unable to flex her knee.. not a/w any pain and swelling subsided after few days.. she was  normal for about 6 months then she had an episode of low grade fever on and off for duration of about 6 months, during which she was completely bed r

31 yr old female come to the hospital with c/c of fever of high grade and jaw pain since 15 days.. pt was apparently alright 20 days back, then she had a trauma (got hit by wooden stick) over right small toe during work.. after 10 days she developed high grade fever,continuous type a/w chills and rigors, subsided without medication. No other positive history. Past history: pt developed sudden deformity in joints of both hands and toes 16 yrs back during her 1st pregnancy (6th month) since then there is no progression of deformities.she had two children there after. clinical picture relates more to rheumatoid arthritis but only distal small joints are involved. so can it be systemic lupus erythematosus ? Jaccoud's arthropathy On examination vitals are stable.. hyperextension at proximal inter-phalyngeal joints and flexion at distal inter-phalyngeal joints of both right and left hands is seen. spleenomegaly + Dental history and examination pt is c/o of loosening of teeth an