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.
CASE PRESENTATION
52year old male came with cheif complaints of pain abdomen since 10days,pain in peri umbilical region and left iliac region since 10days,pedal edema (subsided),backache since 10days,no h/o vomitings,nausea,sob , palpitations,burning micturation
Alcoholic since 10years(local liquor)
Chutta (smoking)since 10days 2 to 3 times/day
C/o fever since 10days on and off intermittent associated with chills and rigors
Personal history
Decreased appetite
Sleep adequate
Bowel and bladder regular
Alcoholic since 10years(local liquor)
Chutta (smoking)since 10days 2 to 3 times/day
O/E
Pt c/c/c
Pallor Present
No cyanosis, clubbing, pedal edema, lymphedenopathy
BP - 110/70 mmhg
PR - 88 bpm
CVS - S1S2
RS - BAE+
CNS No FND
P/A tenderness + in periumbilical region and left iliac region,mild hepatomegaly+
INVESTIGATIONS
BEFORE DIALYSIS
AFTER DIALYSIS
DIAGNOSIS - ARF SECONDARY TO RT PYELONEPHRITIS
? PCKD
TREATMENT -
1. IVF 2 UNITS 0.45% NS , 1 UNIT RL
2. INJ PIPTAZ 2.25 GM/IV/QID
3. INJ LASIX 40mg IV/BD
4. INJ PAN 40 mg IV/OD
5. CIPROFLOXACIN 500 mg PO BD
6. TAB NODOSIS 550 mg PO BD
7. TAB SHELCAL 500 mg PO OD
No comments:
Post a Comment