presentation scribd
TRANSCRIPT
-
7/25/2019 Presentation Scribd
1/15
H/O NASAL OBSTRUCTION-BILATERAL,GRADUAL
ONSET,PROGRESSIVE IN NATURE,CONTINOUS,AGGRAVATED
WITH EPISODES OF URTI AND RELIEVED WITH NASAL
DECONGESTANTS FOR PAST TWO YEARS
H/O NASAL DISCHARGE BILATERAL,ONLY DURING TIMES OF
URTI ,WHICH IS MUCOPURULENT,NOT ASSOCIATED WITH
ODOUR.
NO H/O SNEEZING BOUTS
NO H/O NASAL SWELLING
-
7/25/2019 Presentation Scribd
2/15
NO H/O NASAL PAIN
NO H/O HEADACHE
NO H/O TRAUMA TO NOSE
NO H/O DEFECTIVE VISION
NO H/O EPIPHORA
NO H/O BLOCKED SENSATION OF EAR/EAR ACHE
NO H/O EAR DISCHARGE
NO H/O TRISMUS/DIFFICULTY IN CHEWING
NO H/O DYSPHAGIA
-
7/25/2019 Presentation Scribd
3/15
NO H/O FACIAL PAIN
NO H/O SWELLING IN NECK
NO H/O SNORING
NO H/O NASAL REGURGITATION
NO H/O CHRONIC FEVER,COUGH WITH EXPECTORATION
NO H/O LOSS OF WEIGHT AND LOSS OF APPETITE
NO H/O LOOSENING OF TEETH
NO H/O SLEEP DISTURBANCES
-
7/25/2019 Presentation Scribd
4/15
PAST HISTORY
-H/O ENDOSCOPIC EXCISION AND CAUTERIZATION DONE IN
PRIVATE HOSPITAL 200 AND GRH 202 MADURAI FOR
RHINOSPORIDIOSIS
-NOT A K/C/O
DIABETES,HYPERTENSION,TUBERCULOSIS,BRONCHIAL
ASTHMA,EPILEPSY.
-NO H/O DRUG INTAKE FOR ANY CHRONIC ILLNESS
-NO H/O ANY KNOWN DRUG ALLERGY/ALLERGEN
-
7/25/2019 Presentation Scribd
5/15
PERSONAL HISTORY
-H/O BATHING IN POND
-NOT A ALCHOLIC NOR SMOKER/SNUFFING-NO H/O EXPOSURE TO CHEMICAL DYES,WOOD DUST.
-MIXED DIET
-BOWEL AND BLADDER HABITS NORMAL
-
7/25/2019 Presentation Scribd
6/15
FAMILY HISTORY
-NO H/O SIMILAR ILLNESS RUNNING IN FAMILY MEMBERS
-
7/25/2019 Presentation Scribd
7/15
MENSTRUAL HISTORY
LMP- ! MONTHS BACK
H/O FAMILY PLANNING DONE 20 YRS BACK
-
7/25/2019 Presentation Scribd
8/15
VITALS "STABLE
GENERAL EXAMINATION#
CVS-S S2 NORMAL,NO MURMURS
RS-B/L AIR ENTRY-E$UAL,NORMAL VESICULAR BREATH
SOUNDS
P/A-SOFT,NO ORGANOMEGALY
CNS-NO FOCAL NEUROLOGICAL DEFICIT
-
7/25/2019 Presentation Scribd
9/15
LOCAL EXAMINATION
NOSE#
EXTERNAL CONTOUR-NO DEFORMITY
-NO SWELLING
-NO COLUMELLAR RETRACTION
-NO NASOLABIAL FOLD OBLITERATION
-NO WIDENING OF BRIDGE OF NOSE
NO WIDENING OF INTERCANTHAL
DISTANCE
-
7/25/2019 Presentation Scribd
10/15
PARANASAL SINUSES EXAMINATION
- NO TENDERNESS IN
FRONTAL,ETHMOIDAL,MAXILLARY REGIONS.
EXAMINATION OF ORAL CAVITY#
- LIPS,GINGIVA,BUCCAL
MUCOSA,ANTERIOR TWOTHIRD TONGUE,HARD
PALATE,RETROMOLAR TRIGONE-NORMAL -DENTAL FORMULA-22%/22%
-
7/25/2019 Presentation Scribd
11/15
EAR#
BILATERAL EXTERNAL AUDITORY CANAL-NORMAL
BILATERAL TYMPANIC MEMBRANE "INTACT
LARYNX#
IDL EXAMINATION-NORMAL STUDY
NECK# NO SIGNIFICANT LYMPH NODES,SWELLING IN NECK
OR ABNORMAL PULSATIONS
-
7/25/2019 Presentation Scribd
12/15
PROVISIONAL DIAGNOSIS# RECURRENT
RHINOSPORIDIOSIS
-
7/25/2019 Presentation Scribd
13/15
CT PNS
-
7/25/2019 Presentation Scribd
14/15
INVESTIGATIONS#
ROUTINE BLOOD INVESTIGATIONS
ECG
X-RAY PNS
CT-PNS
DNE
MANAGEMENT#
ENDOSCOPIC COBLATION
EXCISION
-
7/25/2019 Presentation Scribd
15/15
THANK YOU