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CHAPPED LIPS


A 15 year old male patient resident of poddichedu presented to the opd with chief complaints of 

1) chapping of corner of lips since 3 months 

2) inflammation of lower lip since 3 months

HISTORY OF PRESENTING ILLNESS:-

Patient was apparently asymptomatic 3 months ago and then he developed chapping of the corner of the lips which was insidious in onset and he is intolerable to spicy food and is aggravated by cold weather . 

HISTORY OF PAST ILLNESS:-

Not a K/C/O of DM , HTN , epilepsy , asthma . 

TREATMENT HISTORY:- 


PERSONAL HISTORY:- 

Diet - mixed 

Appetite - reduced 

Sleep - normal 

Bowel and bladder - regular 

Patient wakes up around 7 am in the morning and has a good amount of breakfast fil

FAMILY HISTORY:-  

Not significant 

O/E:-

PT is conscious coherent co-operative 

BP: 100/70 MMHg 

PR :84 BPM

RR: 18 CPM

SPO2: 98% AT ROOM TEMP


NO SIGNS OF PALLOR ICTERUS CLUBBING CYANOSIS LYMPHADENOPATHY


S/E:-


CVS: S12 PRESENT

CNS: NAD

RS: NVBS HEARD


PROVISIONAL DIAGNOSIS:-


Angular cheilitis




PHYSICAL EXAMINATION:-






Arm span- 176cm
Height- 175cm

INVESTIGATIONS:-
CBP:-

LFT:-

USG:-

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