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

46 yr old male with HFrEF with type 4 cardi renal symdrom with DCMP with ischemic Hepatits

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.) 46 years old old male patient came with  c/o abdominal distension since 20 days   c/o shortness of breath since 20 days and c/o  pedal edema since 20  days Patient was apparently asymptomatic 6 years back then had  throne pricking on the left foot followed which he developed swelling ...
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