A long distance patient with left frozen shoulder
A long distance patient came to the OPD with regulur check up.
C/o left frozen shoulder since 10months back.
Patient was apparently asymptomatic 10 months back.then he had left shoulder pain which is radiating and not associated with trauma.
H/o frozen shoulder 10month back.e had on medication 15 years back, relieved on medication.
He is k/c/o HYPERTENSION, DIABETESsince 6 years.
Thyroid since 2 years.
O/E:
Patient c/c/c
Afebrile
Bp:130/80mmhg
PR:98bpm
Cvs:s1s2+
CNS: NAD+
Rs:BAE+
P/A:soft non tender
Bowel sounds are heard.
Investigation:
ECG:
Chest X-ray:
2d echo:
Provisional diagnosis:
Left frozen shoulder with hypertension, diabetes, thyroid.
Treatment:
Azulix 2 MF (glimiperide 2mg+metformin 500mg)/po/od.
Telma 40mg po/Od
Clinidipine 10mg/po/od
T.ultracet po/qid
Thyronorm 75 mg/po/od
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