Thursday, June 14, 2012

Abandoned by Sons

A man spends all his life trying his best to earn an honest livelihood for his children only to be left alone when gets old and need his children the most??
One parent can bear all the expenses of his children. But all those children (combined) when start earning can't afford the expense of a single parent.

Similar is the case here in which all five sons has abandoned their father who has nothing left for his medical treatment after spending all his savings on the very weddings of those sons. 

Bio: 
Age: 85 years 
Sex: Male
Ethnicity: Asian
Marital Status: Married 




Presenting Complaints:
Yellowness of eyes --- 7 days
Fever --- 4 days
Generalized abdominal pain --- 1 day


yellowness of eyes (jaundice)


Palmar Erythema

Bilateral Parotid swellings for 15 years. Left parotid became painful for last 1 month and a sinus is visible through which yellowish discharge oozes out.


Clinical Findings (summary):
Palmar erythema, Pallor, Jaundice, Bilateral parotid swelling, senile purpura on left arm, tender abdomen, no organ palpable


Investigations:
Hepatitis B & C positive


Provisional Diagnosis:
Hepato-Encephalitis

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