A 65yr old M with Hypoglycemia,Hypotension
A 65 yr old male patient, resident of miryalguda came with chief complaints of Hypoglycemia. Pt came with Hypoglycemia with Grbs 30mg/dl. Pt came to the surgery department with c/o multiple ulcers over lt leg since 6 months. Pt was apparently asymptomatic 6 months back then he developed 4 small ulcers of size 1x 1 cm initially, which was gradually increasing to attain present size.H/o fever which was on and off. Then he suddenly developed Hypoglycemic symptoms and became unconscious and transferred to medicine department.No H/o trauma H/o Fracture at left elbow joint which was ill treated - Non union of Fracture 30 yrs back. Pt is a K/C/O of DM and is on regular medication - T. Glimestarmil PO/OD Had H/o pulmonary cox 2 yrs ago. N/K/C/O HTN,Asthma,Epilepsy. Married He worked as a Sarpanch in his village. Have Normal appetite with mixed diet and regular bowel and bladder movements. No significant family history General examination Pt is c/c/c . No pallor,Icterus, Clubbing,Cyan