12/23/2023 0 Comments Scleral icterus 2 mm bilaterally![]() ![]() Gross neurologic examination not reveal lateralizing signs. Meningeal signs negative, Lasègue manoeuvre provokes pain in hips, No bilateral cyanosis, clubbing or edema. ![]() Right elbow without any finding, flection is free. Normoactive bowel sounds.Įxtremities: numerous scars on the left forearm after cut wounds. Soft by palpation, painless, the liver is a little enlarged by +3 cm below costal margin, spleen not palpable. Heart sounds, S1 and S2 with short systolic murmur (probable anemic), BP 109/51/72.Ībdomen below niveau with scars of older time (lower midline incision, appendectomy scar), Oral cavity is clear, throat and tonsils without erythema or exudate, neck supple with no LAD or masses.īreathing: slightly pursy when speaking, D 24/min.,ĭry irritating cough during examination, brath sounds weakened on left basis what corresponds with dullness on percussion,įine crakle and friction rub on right lung basis, SpO2 95 % in air.Ĭardiovascular: RRR 108/min. Head: eyes: no scleral icterus, conjunctiva pale. Oriented, pale face, small scars after ulcerous affections on the skin, no other rash, ![]() Started again half a year ago due to family problems, pervitin i.v., she would like to stop using it again GA: surgery of ovarial cyst during her gravidity, 2 deliveries of healthy childrenĪbuse: She started to use drugs 20 years ago, and maybe next 8 years did not take them, PMHx: viral hepatitis, probably type C, 20 years ago WSHx: Previously worked as a waitress, now unemployed, registered at the Employment Bureau, divorced, caring for 2 children (aged 8 and 10), parents-in law helps her with them No dysuria, normal stool, pain in elbow subseded, cough irritation from time to timeįHx: No information about parents, no contact with mother, father died, her children are healthyĮHx: Antibiotics denied, does not travel anywhere After 3 days pains in the whole body, weakness, to fainting,įever rised up to 40 ☌ with chills, antibiotics were not taken till admission to hospital. In a surgery out-patient department, synovialitis cubiti on the right side was diagnosed, diclofenac drug user admitted to the hospital firstly for pain in right elbow and for two week-persisting fever with chills and shivering and no prominent respiratory symptomsġ4 days before pain in right elbow. ![]()
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