19 yrs old female with Acute Gastroentritis with Viral pyrexia

C/o of fever since 1 days a/w chills and relieved on medication 
vomitings since 1 day 3 episodes, non projectile and non bilious
cough since 1 day , non productive 
No H/o sob,pedal edema, loose stools, pain abdomen 
past History 
not a k/c/o HTN , DM,ASTHMA,CAD,CVA
G
o/E
pt is conscious, coherent, cooperative 

no signs pallor, icterus, cynosis clubbing lymphedenopathy, kilonycia 

system Examination 
R/s_ BAE+
CVS -s1,s2 +
p/A -soft,non tender,not rigid, 
CNA-NAD
Treatment 
oN the day of admission 
1.IVF 1 unit with 1 amp optineuron @50 ml /hr
2.ors sachets 
3.Tab PCM 650 mg po/tid
4.Inj ZOFER 4mg iv/tid
5.syp ASCORIL D 10 ml po/tid
6.TAB ZINCOVIT PO/OD
7.TAB PAN 40 MG PO/OD
day 1
1.Tab AZITHROMYCINE 500 MG PO/OD
2.ors sachets 
3.Tab PCM 650 mg PO/TID
4.TAB ZOFER 4MG PO/OD
5.syp ASCORIL D 10 ml po/tid
6.TAB ZINCOVIT PO/OD
7.TAB PAN 40 MG PO/OD
DAY 2.
1.Tab AZITHROMYCINE 500 MG PO/OD
2.ors sachets 
3.Tab PCM 650 mg PO/TID
4.TAB ZOFER 4MG PO/OD
5.syp ASCORIL D 10 ml po/tid
6.TAB ZINCOVIT PO/OD
7.TAB PAN 40 MG PO/OD

Popular posts from this blog

54 yr old male with Left upper lobe pneumonia secondary to Koch's

Image
This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Team: Interns- M Supriya Mohitha K Sowmya Sanjay Amrutha Dr.Druga Krishna PGY1 Dr.Ajith Kumar PGY2 Dr.Laxma Reddy PGY3 Dr.Manasa PGY3 Dr.Vijaya Lakshmi (Ast.Prof.) 54yr old male  present with  C/o chest pain since 10 days  C/o SOB since 10 days  C/o cough with expectoration since 10 days pt was apparently asymptomatic 10days back then developed chest pain on Left side which is pricking type ,sudden in onset ,non radiating aggravated on exertion a/w  SO...
Read more

75 YRS OLD FEMALE WITH CVA

Image
This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Team: Interns- M Supriya Mohitha K Sowmya Sanjay Amrutha Dr.Druga Krishna PGY1 Dr.Ajith Kumar PGY2 Dr.Laxma Reddy PGY3 Dr.Manasa PGY3 Dr.Vijaya Lakshmi (Ast.Prof.) C / o altered sensorium  Unable to speak Unable to move her upper and lower Limbs since  6 o'clock in the evening yesterday Patient had history of toddy intake in the afternoon yesterday after which she unable to move her right upper limb and lower Limbs ⁶6ťshe unable to speak ok or response two daughters...
Read more

54 yr old male pt with status epilepticus,Hypokalemia,hypoproteinemia,diabeties with microvascular complications

54 yr old male pt came with Complaints of fever from 6 days Complaints of seizure from  yesterday Patient was apparently asymptomatic 6 days back then he developed a fever for 2 days which was low grade ,intermittent and associated with chills and relieved on medication, patient was normal up to 2 days till Monday night then he developed involuntary movements of upper and lower limb and associated with tongue bite . patient was taken to private hospital [up To 8 episodes] of seizures happened till next day morning, then patient was taken to government hospital where  CT was done then he had 5 more episodes of seizures within 2 days and was referred to KIMS for the furture evaluation K/c/o DM since 15 yrs and on TAB.METFORMIN 500MG and TAB GLIMIPIRIDE K/c/o HTN since 3 yrs and on medication TAB.ATENOLOL 50MG Alcohol occasionally somker [stopped 20yrs back] O/E pt is conscious coherent cooperative  Temp-afebril PR-79bpm BP-130/90 mmHg spo2-97%at room air GRBS-3...
Read more