30 yr old women with nasal Pterygium

February 26,2022

This is online E-blog, to discuss our patient de-identified health data shared after taking her guardian's signed informed consent.



Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input.

I have been a case in order to make my skills better in understanding the "Patient's clinical data analysis". Making a note of all the necessary information like the history of patient's present illness, his medical history, his family history, diagnosis and treatment plan. 
  
A 30 year old female patient came to the OPD with a complaint of a fleshy mass in her left eye. 

History of present illness:
 The patient was apparently asymptomatic. One year back then she developed a fleshy mass on the conjectiva on her left eye which was insidious in onset and gradually progressive. 

History of past illness:
Asthma  -ve
No diabetes
No hypertension

Personal history:
Married
Occupation- home maker
Appetite- normal
Diet- mixed
Bowels- regular
Menstrual history- normal

Family history:
Not significant

Physical examination:
No pallor
No cyanosis
Temperature- 98°F
Pulse- 90/min
Respiration rate- 13/min

Diagnosis: Nasal Pterygium. 

Investigations:


Treatment:    The patient is given topical corticosteroid eye drops for the first three days and then stopped for next three days. 






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