A CASE OF CERVICAL SPONDYLOARTHROPATHY PRESENTED IN SUMMER OF 2022
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A 50 yrs old man, lecturer by profession presented to the casualty with complaints of abdominal pain and neck pain radiating to the shoulder
Date of admission - 17/08/22
CHIEF COMPLAINTS
➤Pain in abdomen since 15 days.
➤Neck pain radiating to the shoulder since past 5-6
days.
HISTORY OF PRESENTING ILLNESS
Patient was apparently asymptomatic 15 days back. Then he started developing stomach pain and bloating after food intake . The patient was on poor diet for the past one month .
He has neck pain of radiating type since the past 5-6 days .
HISTORY OF PAST ILLNESS
➤Not a known case of diabetes ,bronchial asthma ,epilepsy, tuberculosis or hypertension.
PERSONAL HISTORY
➤ Occupation : Junior Lecturer
➤Patient is single.
➤Patient takes mixed diet but poor diet for past month .
➤Bowel and bladder movement is normal and regular.
➤No addiction, but patient consumes alcohol .
FAMILY HISTORY
➤His mother died of Tuberculosis.
➤Sister is diabetic.
➤Brother died due to Kidney Failure.
GENERAL EXAMINATION
➤Pallor : Absent
➤Icterus : Not seen
➤Cyanosis : Not seen
➤Clubbing : Not seen
➤Lymphadenopathy : Not seen
➤Edema : Not seen
VITALS
➤Temperature : 98.3℉
➤PR : 80 beats per minute
➤BP : 130/90 mm of Hg
➤RR : 16 cycles per minute
SYSTEMIC EXAMINATION
CARDIOVASCULAR SYSTEM EXAMINATION
➤s1 and s2 heard
➤Thrills absent.
➤No cardiac murmurs
RESPIRATORY SYSTEM
➤Normal vesicular breath sounds heard.
➤Bilateral air entry present
➤Trachea is in midline.
ABDOMINAL EXAMINATION
INSPECTION
➤Shape - Obese
➤Equal movements in all the quadrants.
➤No visible pulsation, dilated veins and localized swellings.
PALPATION
➤No tenderness
➤No palpable mass
CENTRAL NERVOUS SYSTEM EXAMINATION
➤Conscious and coherent
PROVISIONAL DIAGNOSIS : CERVICAL SPONDYLOARTHROPATHY.
INVESTIGATIONS :
CBP
RFT
LFT
ECG
USG
No sonological abnormalities detected .
TREATMENT
1) TAB ULTRASET PO/OD.
1/2-1/2-1/2
2) TAB PANTOP 40mg PO/OD.
3) TAB MVT PO/OD.
