A 62 years old man with enlarged mole on chest since 2 months.

Presenting problem/complaint:

Nkrh ij cM+s&cM+s eLls N% eghuksa ls cgqr vf/kd gSaA

eLls okys LFkku ij nnZ dh leL;k Hkh dqN fnuksa ls gSA

nks fnuksa ls cq[kkj Fkk tks fd vkt rhljs fnu lekIr gks x;k gSA

detksjh eglwl gksukA

Fkdkou yxukA

Hkq[k de yxuk ;g leL;k dqN eghuksa ls gks jgh gSA

Past medical and surgical history:

ebZ 2015 esa eLlksa dk bykt djok;k lkFk gh vkWizs’ku dh lg;rk ls Nkrh okys eLls dks dkVdj fudyok;k FkkA

ayxHkx 30 lkyksa ls Hkh vf/kd le; ls izR;sd lnhZ ds ekSle esa gkFk&iSjksa esa nnZ vkSj fQj 'kjhj xeZ gksuk vkSj ilhuk vk tkrk FkkA tks fd nks ls rhu fnu rd jgrk FkkA

Drug history:

ejht us ebZ 2015 esa bykt ds le; dqN nokbZ;ksa dk lsou fd;k FkkA

Family history:

ejht ds firk th 90 lky dh mez esa LoHkkfod nsgkar gqvk Fkk mUgsa fdlh Hkh izdkj dh leL;k ugha FkhA

ejht dh ekrk th dk nsgkar ejht ds tUe ds ,d lky ckn gqvk Fkk ijUrq e``R;q dk dkj.k ejht dks irk ugha gSA

ejht dh rhu cgusa gS tks fd mez esa buls cM+h gSA

ejht ds ikWp cPps gSaA rhu yM+dh;k¡ ftUkdh 'kknh gks pqdh gSSA nks yM+ds ftlesa ls ,d dh 'kknh gqbZ gSA

ejht dk ikfjokfjd okrkoj.k cgqr feyulkj jgk gSA fdlh izdkj ds ikfjokfjd >xM+ks dk ekgkSy ugha ckuk gSA

ejht ds ifjokj esa fdlh dks Hkh dksbZ Hkh fcekjh ugha gSA

Personal and social history:

ejht ,d fdlku gSA og Lo;a ds [ksr esa [ksrh ls ysdj dVkbZ vkSj cqvkbZ ds lHkh dke djrk gSA

Ekjht dk cpiu lekU; Fkk dksbZ ,slh [kkl ?kVuk ugha gqbZ tks fd ejht dks ;kn jgsA ejht ds ifjokj dh vkfFkZd fLFkfr 'kq: ls gh vPNh jgh gSA edku] [ksr] i'kq vkSj okgu lHkh izdkj dh lq[k lqfo/kk,¡ FkhA ikfjokfjd ekgkSy [kq’kuqek FkkA

Past Medical History:

ejht dh dksbZ esfMdy fgLVªh ugha gSA

Social History:

ejht fdlh Hkh izdkj dk u’kk ugha djrk gSA

'kkdkgkjh Hkkstu gh ysrk gSA

nq/k] ?kh lHkh ?kj dk cuk gh mi;ksx esa ysrk gSA

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O/E images: