16 yr old female with bluish discolouration of fingers




 A 16 Year old female with bluish discolouration of fingers of upper limb. 

  


Hi, i am E. Tejaswi 8 th Sem Medical Student. This is an online e-log book to discuss our patient's health data shared after taking his/her/guardian's consent. This also reflects patients centered care and online learning portfolio. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. Hope this will be informative!

* This is an ongoing case. I am in the process of updating and editing this ELOG as and when required.


Cheif complaints 

Bluish discolouration of fingers since one month

History of presenting illness

Patient was apparently a symptomatic one month back. Then she developed bluish discolouration of fingers, which was insidious in onset and asymptomatic. There are no aggravating or relieving factors.

No history of shortness of breath

No history of exposure to chemicals

No history of injury or trauma

No history of use of antibiotics

No history of pesticide exposure

No history of fever

No harmful factories around her college

No history of photo sensitivity

Past history

History if similar complaints in the past 

Not a known case of HTN, DM ,CAD, seizures TB,seizures, asthma 

Personal history  
Appetite normal 
Non veg 
Bowel and bladder 
No known allergies 
No addictions 


Family  history 
Not significant 

General examination 

Patient was conscious coherent, cooperative

Not adequately built and  nourished

Sign of Pallor present.                  

signs of cyanosis  present  - bluish discolouration of fingers , and  lips dark in colour . 

No signs of clubbing , lymphadenopathy , oedema 


Systemic examination


CVS- S1, S2 heard , no murmers 
RS - BLAE + , NVBS
P/A- Soft , NT
CNS - No FND

Investigations 




Daily follow up 

31/10/23



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