60 YEARS OLD MALE WITH DIMINUTION OF VISION IN LEFT EYE

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centred online learning portfolio and your valuable inputs on comment box is welcome.

DATE OF ADMISSION : 21/02/2022

Chief complaint  : 
Diminution of vision in left Eye since 6 months

History of patient : 
Patient is suffering from Diminution of vision from past 6 months 
He is having blurred/improper vision since 6 months he is not able to see things properly.
Patient came to hospital for eye check up and he got to know he have "Cataract" in his left eye after been diagnosed by the Doctor.
Then he was suggested to get admitted in hospital and then he was prepared to undergo An Eye Surgery.

Past history :
No similar complaints in past 
No DM, TB, Asthma, Epilepsy 
Hypertension since 4 years
Personal history :
Appetite- Normal
Sleep- Adequate
Bowel and Bladder movements- Regular
Addictions- Patient used to consume alcohol twice or thrice weekly.
Occasional smoker. 

Family history :
Insignificant

Vitals :
Temp- 98.8 F
PR- 84 bpm
BP- 140/80 mmHg 
RR- 18 cpm
Spo2- 98% at RA

General Examination :
Patient is conscious, coherent and cooperative. 
No signs of Pallor, Icterus, Cyanosis, Clubbing,Lymphadenopathy or Edema.

INVESTIGATIONS :
Systemic: 
CBP, ESR, RBS

Occular:  

IOP Calculation by Tonometry
IOL Power Calculation
A scan Ultrasonography

PROVISIONAL DIAGNOSIS :
Unilateral Immature Senile Cataract.


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