57/M with ALTERED SENSORIUM 2⁰ HYPOGLYCEMIA
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CHIEF COMPLAINTS and HOPI
A 56 year old male patient who is a resident of koilagudem (nalgonda district)who is a daily wage labourer by occupation brought to the casualty in unresponsive state at 1:30 Am .patient was found drowsy from 1 pm on 25/04/2023 And suddenly developed seizure like activity associated with slurring of speech,uprolling of eyeballs,stiffness of all four limbs,
Associated with involuntary defecation and micturition and found unresponsive.
No h/o fever ,cough.
No h/o neck stiffness and projectile vomitings.
No h/o generalised weakness ,tingling,numbness.
No h/o head trauma.
Cheif complaints of swellings with discharge not associated with pain on the left forearm. History of similar swellings with discharge on and off from past 6 months.
PAST HISTORY:
No history of similar complaints in the past.
Known case of Diabetes type 2 since 1 month.on glimiperide 1mg and metfromin 500mg.
known case of asthma since 30 years.
Not a known case of Diabetes,HTN,Epilepsy,CAD,TB.
FAMILY HISTORY:
No similar complaints in the family.
PERSONAL HISTORY:
DIET : MIXED
APPETITE: ADEQUATE
SLEEP:NORMAL
BOWEL AND BLADDER :REGULAR
ADDICTIONS: NO ADDICTIONS.
TREATMENT HISTORY:
GENERAL EXAMINATION:
Patient is unresponsive.
Pupils dilated sluggishly reactive.
Poorly built and poorly nourished.
Vitals: Pulse rate during admission 52 bpm on atropine 98bpm.
Respiratory rate:32cpm.
Spo2 :98%@RA.
Bp:120/90MMHG
Temp:afebrile.
SYSTEMIC EXAMINATION:
CVS:S1,S2 HEARD,NO MURMURS.
RS:BAE+,NVBS.
P/A: SOFT ,NON TENDER.
CNS: Patient is unresponsive at first.
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