52 yr female with uncontrolled sugars with Tenia infection??
A 52 yr old female with c/o swelling over the left retroauricular and angle of mandible since 3 days.
C/o swelling associated with increase in local temperature of left leg since 2 weeks.
History of present illness:
Pt was apparently asymptomatic 2 wks back then she developed progressive swelling of the left leg associated with local rise of temp since 2 wks.swelling over the angle of mandible which was preceded by a swelling and pain over the mastoid region.
H/O cutaneous fungal annular lesions over the trunk,thighs s/o Tenia infection.
Past history:
K/c/o Hypertension since 2 yrs on tab.TELMA 40 mg /po/od
K/c/o Type 2 diabetes mellitus since 8 yrs on Inj.Human Actrapid Insulin 8u-15u-10u
Tenia corporis et.cruris since 2 mnths
S/p LSCS 30 yrs ago
S/p Hernioplasty 7 yrs ago
Personal history:
Appetite- Normal
Bowels- Regular
Micturition- normal
Not Alcoholic
Sleep- Adequate
On 25/05/22:
On examination:
No pallor/icterus/cyanosis/clubbing/lymphadenopathy/edema
Vitals :
Bp 120/80 mm hg
PR 86bpm
RR 16 cpm
Temp afebrile
GRBS 182 mg/dl
Systemic examination:
CVS - s1 s2 heard
RS- BAE+
CNS - NAD
P/A- soft, non tender
TINEA CORPORIS WITH UNCONTROLLED SUGARS WITH T2 DM WITH HTN WITH B/L PAROTITIS
Treatment given:
1.T.TELMA 40 mg PO/OD
2.T.METXL 50 mg PO/OD
3.Inj.HAI S/C ACC TO GRBS
4.LUCIFIN CREAM L/A BD ON LEG LESION
5.MOMATE -S - CREAM L/A OD ON NECK LESION
6.TAB.ATARAX 10 Mg PO/OD
7.INJ.MONOCEF 1gm/IV/BD
8.INJ.OPTINEURON 1 AMP IN 100 ML NS/IV/OD
9.VITALS MONITORING 4TH HRLY
10.GRBS MONITORING 6TH HRLY
AMC 25/05/22 admission
SOAP notes: Day 1
S: No fresh complaints
O:
O/E pt c/c/c
No pallor/icterus/clubbing/lymphadenopathy/edema
Temp - 98 f
Bp- 120/80 mm Hg
RR- 16cpm
PR- 86bpm
CVS- S1 S2 heard
RS- BAE +
CNS - NAD
GRBS - 301 mg/dl
A - Tinea corporis with uncontrolled sugars with T2 DM with HTN with B/L PAROTITIS
P:
1.T.TELMA 40 mg PO/OD
2.T.METXL 50 mg PO/OD
3.Inj.HAI S/C ACC TO GRBS
4.LUCIFIN CREAM L/A BD ON LEG LESION
5.MOMATE -S - CREAM L/A OD ON NECK LESION
6.TAB.ATARAX 10 Mg PO/OD
7.INJ.MONOCEF 1gm/IV/BD
8.INJ.OPTINEURON 1 AMP IN 100 ML NS/IV/OD
9.VITALS MONITORING 4TH HRLY
10.GRBS MONITORING 6TH HRLY
AMC admission
SOAP notes: Day 2
S: No fresh complaints
O:
O/E pt c/c/c
No pallor/icterus/clubbing/lymphadenopathy/edema
Temp - 98.2f
Bp- 130/80 mm Hg
RR- 20cpm
PR- 80bpm
CVS- S1 S2 heard
RS- BAE +
CNS - NAD
GRBS - 249 mg/dl @7Am 27/05/22
A - Tinea corporis with uncontrolled sugars with T2 DM with HTN with B/L PAROTITIS
P:
1.T.TELMA 40 mg PO/OD
2.T.METXL 50 mg PO/OD
3.Inj.HAI S/C ACC TO GRBS
4.LUCIFIN CREAM L/A BD ON LEG LESION
5.Tab.TERBINAFIN 250 Mg/OD
6.TAB.ATARAX 10 Mg PO/OD
7.INJ.MONOCEF 1gm/IV/BD
8.INJ.OPTINEURON 1 AMP IN 100 ML NS/IV/OD
9.VITALS MONITORING 4TH HRLY
10.GRBS MONITORING 6TH HRLY
