ORAL CANDIDIASIS
A CASE OF 90 YEARS OLD FEMALE WITH SWELLING OF TONGUE AND SLURRING OF SPEECH
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This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome.
I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan.
D. Shreeya , 7th Semester
Roll no-39
A 90 years old Female patient was brought to the casualty on 9 NOV 2021 at 9:00pm with a cheif complaints of fever since 1day,Swelling of tongue since 1day and slurring of speech since 1 day
HISTORY OF PRESENT ILLNESS :
Patient was apparently asymptomatic till 1day ago
Then She developed Fever which was low grade 
swelling of tongue
pain during Swallowing,
Slurring of speech,
Generalized weakness
NO rash , NO SOB ,no cough and No lip Swelling
PAST HISTORY :
She had a similar complain 4 months Back associated with Redness of tongue and nausea subsides on medication
later H/O of fall and sustained injury to Right femur (post surgery Implant placed )2 months ago
She has tremors from past 30 years
NO H/o of DM ,HTN,TB,asthama
PERSONAL HISTORY :
Diet : Mixed
appetite : Normal
Regular Bowel and Bladder movement
No allergies
No addictions
No drug and food allergies
General Examination
patient was conscious,coherent,moderately build and moderately nourished
NO pallor
NO icterus
No cyanosis
No clubbing
lymphadenopathy seen on USG
Mild dehydrated
No edema
VITALS :
on admission
Temperature- febrile
BP - 70/40 mm of Hg
Respiratory rate -13
pulse - 80
SPO2 - 98% on room air
SYSTAMIC EXAMINATION :
CVS- S1,S2 +,NO murmurs
RS - NVBS . NO crepts
No dyspnoea,
no wheeze,
Breath sounds are vehicular
Position of trachea -cental
Abdomen - soft, not tender , non palpable masses and bowel sounds are Heard
Bilateral submandibular lymp nodes +
Right eye pupil constricted
Left eye post cataract
Gag reflex +
Uvula-center
Investigations
urea: 40
Creatinine : 1.5
Na+-142
k+ _ 2.9
CI- - 96
Liver function test
TB-1.05
D B -0. 19
AST -19
ALT-37
ALP-216
TP-6:9
alb - 3.2
A/ G - 0-89
Rapid dengue- -ve
Serology - -ve
Serum potassium
Esr
CBP
SERUM ELECTROLYTES
ABG
TREATMENT
Chorhexidine mouth gargle
Triple antibiotic
Amikacin
Flucanozole
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