60yr old female with lipoma over medial aspect of right knee
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A 60yr old female came to hospital with swelling over medial aspect of right knee since 3years
HISTORY OF PRESENT ILLNESS
Patient was apparently asymptomatic 3years back and then she developed a swelling which is insidious in onset and gradually progressive. Patient has no history of pain,no discharge,weight loss,fever ,trauma
HISTORY OF PAST ILLNESS
Patient has no history of hypertension, diabetes mellitus,asthma,epilepsy,cardiovascular disease
PERSONAL HISTORY
Married
Apetite: normal
Diet:mixed
Bowels:regular
Micturition:normal
No known allergies
No addictions
No known family history
GENERAL EXAMINATION
No pallor , no cyanosis,lymphadenopathy,malnutrition,icterus,clubbing of fingers or toes ,edema of feet
VITALS:
Temperature: 98.7F
Pulse rate:80/min
Bp: 100/70mmhg
Spo2:99percent
SYSTEMIC EXAMINATION
CVS
No thrills , cardiac murmurs
Cardiac sounds:S1S2
RESPIRATORY SYSTEM
No dyspnoea, wheeze
Position of trachea:central
Breathing sounds: vesicular
ABDOMEN
Shape of abdomen:scaphoid
No tenderness,palpable mass, free fluid, bruits,bowel sounds
Normal hernial orifices
Liver and spleen not palpable
CNS
Level of consciousness:conscious
Speech:normal
CLINICAL FINDINGS
Sloitary, oval swelling located at medial aspect of right knee joint . The surface of swelling is smooth the swelling was non pulsatile . There was no local rise of temperature, firm in consistency,was freely movable and there was no fixation to underlying skin . Skin over the swelling was pinchable
PROVISIONAL DIAGNOSIS
Lipoma over medial aspect of right knee
Medication:
Tab.pan40mg
Tab.MVT
Patient was advised to have excision
