29/M PRESENTED TO GM OPD FOR ROUTINE CHECK UP

29/M presented to General Medicine OPD for routine check up. 

History : Patient got married in 2021 and in June 2022 he got swelling in right side of neck around cervical region. Swelling was insidious in onset and gradually progressive. On consultation he had FNAC done and diagnosed as extra pulmonary tuberculosis. Previous reports are not present as patient threw them. He was put on medication for tuberculosis from June 2022 to March 2023 that's for 9 months. 

In September 2023 patient was planning to conceive for which he got his full body check up where his ALT, AST and ALP were raised. Due to some engagements he didn't approach medical care. Then in November 2023 he came to our hospital with same reports (attached below). 

Daily Routine 

5 am : he wakes up 

6am : he signs in for work and also takes one egg with one glass of milk. 

8 am : he takes breakfast sometimes idli sambhar and some times dosa sambhar. 

11am: he takes juice

1pm : he takes lunch one plate rice, dal and curry 

3pm : he signs off for work 

3-5pm : he sleeps 

5pm : takes a cup of tea

6pm : goes for workout and walk

8pm : dinner, chapati and sometimes rice with curry. 

Past history : k/c/o extrapulmonary tb in June 2022


Vitals:

HR : 66bpm

RR: 16cpm

BP: 120/84 mm of Hg

Height : 168 cm

Weight : 92 kgs

Reports :





Diagnosis : Grade 1 fatty liver 

Treatment : Dietary and lifestyle modifications and monitoring through PaJR group. https://chat.whatsapp.com/EVU6Mam2WwpKocPqP7bVIX




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