general medicine case presentation
A 65 year old male resident of Mallepally ,farmer by occupation presented to the causality with loss of consciousness (For a period of 15min) associated with sweating. HISTORY OF PRESENT ILLNESS: Patient was apparently normal until 15 days back. Then he had a thorn prick injury to the right foot for which he has taken treatment from a local RMP. The local RMP performed incision and drainage after which the swelling increased over right lower limb foot with boils over the ankle He then visited another hospital where he was told to have increased creatinine level (0.7mg/dl) He then was referred to a higher centre The patient was then taken to the hospital and haemodialysis was done and planned for a debridement Debridement was done and was discharged After which he has experienced a sudden loss of consciousness associated with sweating and was brought here. No h/o fever, sob, palpitations, chest pain. PAST HISTORY: k/c/o diabetes Mellitus type 2 since 10 years N/k/c/o HTN,