KASTURBA HOSPITAL, MANIPAL
( ISO 9001:2008 certified )
(Teaching hospital of KMC Manipal, a unit of MAHE)
Manipal - 576 104, Udupi District, Karnataka
Phone : 0820-2571967 / 2922761 Fax : 0820-2571934 / 2574321, Email : helpdesk.kh@manipal.edu
Name Age Sex IP No Hospital No
MR. ESHWARA 48 Y M 00888018 03998967
Address Date admitted Date Discharged Ward Discharge Unit
MANJUNATHA 19/03/2025 22/03/2025 OM ORT003
BOLNADI MANE, MUDA HERANJALU, KUNDAPURA
Taluk: KUNDAPURA District: UDUPI 576219
Phone: Scheme of admission:
Final Diagnosis :
Right hip secondary Arthrits
Complaints on Reporting :
Pain in the right hip
Past History :
Nil premorbid
History of Present Illness :
Patient presented with right groin pai since 3 months which was insidious in onset gradually progressive dull aching
type, radiating to the right thigh aggravated by walking and climbing stairs.It is associated with limp which is insidious in
onset , gradually progressive Patient currently is able walk few steps before the onset of pain. He gives a history of
weight loss 5 kgs in last 6 months .No. history of cough , abdominal pain, evening rise in temperature . No history of
previous surgeries
Patient gives a alleged history of fall from height (10 ft)12 years back and had sustained a injury over anterior aspect of
right hip. He developed Right groin pain and consulted a local doctor who managed it with medications and no
immobilisation # months after the fall , he noticed a swelling in right hipand sustained a wound over the lateral aspect of
right hip . It was associated with yellowish discharge, fowl smelling associated with fever . He was admitted and treated
with IV antibiotics .followed by oral antibiotics for 1 monthafter which discharge reduced and sinus healed
Physical findings of Examination :
Patient was conscious, cooperative, well oriented to time, place and person. Moderately built and well-nourished.
PR - 82BPM
BP - 120/80mmHg
RR - 19CPM
No pallor, icterus, clubbing, cyanosis, lymphadenopathy, edema, koilonychia.
Afebrile
GCS - 15/15
RS:
Normal bilateral vesicular breath sounds heard
No added sounds.
CVS:
S1, S2 heard.
No added sounds
Per Abdomen:
Soft, non-tender. No organomegaly.
CNS:
Higher mental functions normal.
No focal neurological deficits.
Local Examination:
Patient examined in standing and supine + prone from front , sides and back
Head central
Bilateral shoulder ASIS, GT, Knees appears to be at same level
Gluteal folds :decreased on righ side,
In Case of emergency please contact 2575555 / Casualty (2922246, 2922349) Page 1
(3rd Saturday is a holiday except emergency)
KASTURBA HOSPITAL, MANIPAL
( ISO 9001:2008 certified )
(Teaching hospital of KMC Manipal, a unit of MAHE)
Manipal - 576 104, Udupi District, Karnataka
Phone : 0820-2571967 / 2922761 Fax : 0820-2571934 / 2574321, Email : helpdesk.kh@manipal.edu
Gluteal wasting on right sid e
Calf wasting on the right side
1x1 cm healed scar over the latteral aspect of the Right thigh. Healed , no active discharge , skin puckering (+)
Exagerated lumbar lordosis (+)
No obvious limb length length discrepancy
No Engorged veins / Swellings noted
No local rise in temperature
Anterior joint line tenderness
Right ASIS at higher level than left
Right GT at higher level than Left
Thomas test(+)
10 degree FFD on right side left limb
Flexion -120 degree 140 degree
Extension- NA 15 degree
Abduction -60 degree 60 degree
Adduction deformity-30 degree 30 degree
Internal rotation 10 degree 30 degree
External rotation 30 degree 60 degree
Ely's test (-)
Bryants triangle R ight GT More proximal then left
1cm true shortening on right side
Femoral segment - supra trochanteric shortening
Nelatons line -Right gt lies proximal to the line
Shoemakers line ASIS -GT lines cross to left of midline
Galleazzi test Both knees appear to be at same level
telescopy negative
Trendelenburg test(+ve )(Stand on the affected side- normal side pelvis drops
Chiene's test Negative
Faber test(FO4) Negative
Laboratory Data :
19/03/2025 - ABSOLUTE EOSINOPHIL COUNT:0.14 x 10³/µL;ABSOLUTE LYMPHOCYTE COUNT:1.18 x 10³/µL
;ABSOLUTE NEUTROPHIL COUNT:3.35 x 10³/µL;BASOPHIL:0.6 %;EOSINOPHIL:2.6 %;ESR:35
mm/hr;HAEMOGLOBIN:13.4 g/dL;HAEMATOCRIT:38.7 %;LYMPHOCYTE:22.3 %;MCH:31.0 pg;MCHC:34.6
g/dL;MCV:89.6 fl;MONOCYTE:11.3 %;MPV:6.5 fL;NEUTROPHIL:63.2 %;PCT:0.274 %;PDW:16.2 %;PLATELET
COUNT :420.0 x 10³/µL;RBC COUNT:4.32 x 10^6/µL;RDW:12.7 %;SPECIMEN:EDTA Whole Blood ;TOTAL WBC:5.3
x 10³/µL;
19/03/2025 - ALANINE TRANSAMINASE (ALT) (Serum):25.1 IU/L;ALBUMIN (Serum):4.02 g/dL;ALKALINE
PHOSPHATASE (ALP) (Serum):217 U/L;ASPARTATE TRANSAMINASE (AST) (Serum):25 IU/L;DIRECT BILIRUBIN
(Serum):0.15 mg/dL;TOTAL BILIRUBIN (Serum):0.47 mg/dL;C-REACTIVE PROTEIN (CRP) (Serum):67.97
mg/L;CREATININE (Serum):0.68 mg/dL;GLOBULIN:4.87 g/dL;GLUCOSE RANDOM (Plasma):81 mg/dL;POTASSIUM
(Serum):4.7 mmol/L;TOTAL PROTEIN (Serum):8.89 g/dL;SODIUM (Serum):136.4 mmol/L;UREA (Serum):36
mg/dL;HbA1C (Whole Blood):5.10 %;
19/03/2025 - Hepatitis B Surface Antigen:Non-Reactive ;Antibodies to Hepatitis C Virus:Non-Reactive ;Antibodies to
HIV :Non-Reactive ;
20/03/2025 - TROPONIN T hs STAT (Serum):0.005 ng/mL;
20/03/2025 - CONTROL:28.8 Sec;PATIENT APTT:30.9 Sec;CONTROL:11.1 Sec;INR:1.10 ;PATIENT PT:12.1
Sec;SPECIMEN:Sodium citrate plasma ;
20/03/2025 -
21/03/2025 -
21/03/2025 -
In Case of emergency please contact 2575555 / Casualty (2922246, 2922349) Page 2
(3rd Saturday is a holiday except emergency)
KASTURBA HOSPITAL, MANIPAL
( ISO 9001:2008 certified )
(Teaching hospital of KMC Manipal, a unit of MAHE)
Manipal - 576 104, Udupi District, Karnataka
Phone : 0820-2571967 / 2922761 Fax : 0820-2571934 / 2574321, Email : helpdesk.kh@manipal.edu
21/03/2025 -
Therapeutic Procedures :
CT guided biopsy done on 21/03/2025
Implants if any :
nil
Courses of Treatment in the Hospital :
Patient presented with above complaints and was clinico radiologically diagnosed as above. myeloma profile with other
blood investigations were sent . Interventional radiology advised CT guided Biopsy for the patient . The patient
underwent CT guided Biopsy on 21/03/2025. The samples collected were sent for histopathology , mycobacteriology
and culture . Post procedure the patient was stable . . Patient is stable and is adviced discharge with following advice .
Summary of ICU Stay :
Not Applicable
Condition on Discharge :
Stable and afebrile
Drugs Advice on Discharge :
Drugs Strength Frequency No Of Days
T. ULTRACET SEMI 1-0-1 14 DAYS
Generic:
T. DELTAPAN 40 MG 1-0-1 14 DAYS
Generic:
T. LIMCEE 500 MG 0-1-0 21 DAYS
Generic:
T. CHYMORAL BR 1-0-1 5 DAYS
Generic:
T.NAXETIL CV 500/125MG 1-0-1 14 DAYS
Generic:
Further Advice on Discharge :
Maintain Hygiene
Review in ortho 3 OPD with culture and biopsy reports
Dietry Advice :
Balanced diet
To contact if there are any symptoms like :
9686692598
*THIS DOCUMENT IS NOT FOR MEDICOLEGAL PURPOSES*
Prepared By : Dr. Gopal Kavthekar Checked By : Received By :
Assistant : Dr. Monappa Naik A
In Case of emergency please contact 2575555 / Casualty (2922246, 2922349) Page 3
(3rd Saturday is a holiday except emergency)
KASTURBA HOSPITAL, MANIPAL
( ISO 9001:2008 certified )
(Teaching hospital of KMC Manipal, a unit of MAHE)
Manipal - 576 104, Udupi District, Karnataka
Phone : 0820-2571967 / 2922761 Fax : 0820-2571934 / 2574321, Email : helpdesk.kh@manipal.edu
DR. SOURABH SHETTY / DR CHINMAYA S P Professor and HOU
Department of Orthopaedics
In Case of emergency please contact 2575555 / Casualty (2922246, 2922349) Page 4
(3rd Saturday is a holiday except emergency)
