A 35-year-old man was recently interviewed by our Patient-information-communication-manager in LNMCH for registering into an online-health-record. This patient had previously presented to a community hospital with eighteen months of chronic abdominal pain. The pain was epigastric, mild, and associated with occasional diarrhoea. After being admitted to the hospital, the patient was diagnosed with Insulin-Dependent Diabetes Mellitus (IDDM) and was started on subcutaneous insulin injections. His condition improved and he was discharged. After a brief respite, he suffered from severe abdominal pain for which he returned to the Primary Health Centre nearest to his village. He was given an intramuscular injection of an unknown substance into the left gluteal region to relieve his pain.
After receiving the intramuscular injection, the patient was unable to rise from a supine position. He discovered that he was unable to move his left leg. The patient returned to the same PHC two days later, where nothing was done for his left leg weakness, but instead he was given another intramuscular injection in the contra-lateral gluteal region. The patient was later admitted to the PHC for thirty days, but no therapeutic steps were taken to resolve the loss of mobility and the patient noticed no improvement in his condition. The patient returned to his home for two weeks, hoping for an improvement in his condition, but there was no change. Six weeks after the injury, the patient presented to a tertiary care hospital with foot drop, mild paraesthesia and tingling sensations in the left leg.
Blogged online patient record here http://www.udhc.co.in/INPUT/displayIssueGraphically.jsp?topic_id=1593
(Online-record created and shared after gathering signed informed consent form here: https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEipygnwscXVrFe3K3fnYrh5wWgDa4lIuSXnPiVRo9YMDfqhrWzcUXS3oZopngtB2dCM_-oWppmQEYA_lHaGVdlyKU2aoqvWYIpW5yasbK2LpiI8l1wyD6OYwjFYzgqegvyssAHtdeRNo2s/s1600/consent+form.jpg, and here: http://www.udhc.co.in/STATICS/docs/udhc-english.pdf
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