Case Presentation of DPT

P R E S E N T E D B Y: S H A R E E F A H M A D
DPT 5TH SEMESTER
ROLL NO :24
 Demographics:

 Patient Name: Haider Ali

 Age: 35
 Gender: Male
 Education: Matric
 Occupation: Hotel manager
 Marital status: Married
 Residence: Rawalpindi
 Mode of Admission: OPD
 Medical History

Presenting Complaints:
 Pain in left leg
 Swelling in left leg
 Patient couldnot Stand for long
 History of Presenting Complaints

 Patient is Presented to OPD with chief complaint of Pain and

swelling in left Leg.
 Past History

 Medical history: Diabetic for past 2 years

 Surgical History: NIL
 Medication: Anti diabetic medications
 Allergies: NIL
 Family History: father was diabetic
 Socio-economic History: middle class
 Vitals

 Respiratory Rate: 16bpm

 Pulse Rate: 85bpm
 BP: 125/80mmhg
 Temperature: A/F
 Anemia: NIL
 Jaundice: NIL
 Thyroid: NIL
 General Health Status

 Level of Awareness : Yes

 Expression: Normal
 Body type: Normal
 Fever: No
 Chills:No
 Cognition: Good
 Mentation : Normal
 Fatigue: yes he was Lethargic
 PAIN

 Pain: yes
 NPRS: 7
 Type of Pain: Sharp and Stabbing
 Location of Pain: Left leg
 Aggravating Factors: Standing and walking
 Relieving Factors: Sitting and laying
 Reflexes

 Biceps : 2
 Triceps : 2
 Brachioradialis:2
 Knee: NO sensation
 Ankle: NO sensation
Yellow Flag ( patient is treated with medications)
 Lab Reports

IMAGING: LAB TESTS:

 Doppler Ultrasound CBC
 Ultrasound Abdomen LFTs,RFTs
 Ultrasound Pelvis HbA1c
 ECG
 Assessment

 Diagnosis: Chronic Embolism and thrombosis of unspecified deep

veins of lower extremity.