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Osler Round 1 - 60/M with persistent DIB: Case Walkthrough
Internal Medicine·Advanced·60y Male
Case focus
Management of DKA
60yr/ Male· Kato, a 60-year-old male farmer from the rural district of Kamuli in Uganda, presented to the emergency department at Kamuli General Hospital after a 2-week history of progressive difficulty breathing. His symptoms worsened at night, and he experienced coughing fits, especially when lying down. Mr. Kato had been seen by a traditional healer initially, who prescribed him local herbs, but his condition did not improve. He has a known history of hypertension but has not been adherent to his medication due to financial constraints.presenting with 60/M with persistent DIB
History of Present Illness
Kato, a 60-year-old male farmer from the rural district of Kamuli in Uganda, presented to the emergency department at Kamuli General Hospital after a 2-week history of progressive difficulty breathing. His symptoms worsened at night, and he experienced coughing fits, especially when lying down. Mr. Kato had been seen by a traditional healer initially, who prescribed him local herbs, but his condition did not improve. He has a known history of hypertension but has not been adherent to his medication due to financial constraints.
Review of Systems
Positive symptoms in the stem include severe headache, visual disturbance, epigastric pain, and vaginal bleeding where documented.