A 25yrs old man came with painful skin lesions over the soles and fingertips and burning sensation over epi gastric regions
Hi, I am N.Rohith (Roll no:79) 3rd sem medical student. this is an online elog book to discuss our patients health data after taking his consent.This also reflects my patient centered online learning portfolio. A 25yr old man came with painful skin lesions over the soles and fingertips since 4 days and burning sensation over epi gastric regions since 1 month Chief complaints The patient came with painful lesions over the soles and fingertips History of Presenting illness Patient was apparently alright 4days back came with painful skin lesions over the sole and fingertips -Burning sensation over the epi gastric region associated with cough and headache since 1 month -Abdominal tightness present History of Past illness -No similar complaints in the past PHYSICAL EXAMINATION A. GENERAL Pallor- no Cyanosis - No Icterus - No Clubbing of fingers/toes - No Lymphadenopathy - No Malnutrition - No Oedema of feet - No Dehydration- No. Pulse rate-95bpm Bp: Lf ar...