A 35 year old male with Acute Gastroenteritis..

This is an online E log book to discuss our patients deidentified health data shared after taking his/her/guardians signed informed consent.

Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients 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.

Here is a case I have seen

Unit 4 Admission
Interns
Amrutha
Supriya
Sowmya
Sanjay
Mohitha

Dr.Durga krishna Pg1
Dr.Ajith pg2
Dr.laxma pg3
Dr.Manasa pg4
Dr.vijayalaxmi Ast pro

A 35 yr old male came with c/o loose stools since 3 days & syncopal attack 1 episode 6hours back & vomiting 1 episode
Pt was apparently normal 3 days back,then developed loose stools daily upto 3-4 episodes, which was subsided in 3 days followed which the patient was normal up to 10 hours,again started developing abdominal pain the patient went to local RMP and took some medication and followed which the patient developed itching all over the body and then had 1 episode of syncopal attack for about 3-5min,followed which pt was taken to nearest government hospital and 3 units fluids given in view of Hypotension and was referred to KIMS for further evaluation..
No H/O fever, palpitations
No H/O DM, HTN, TB, ASTHMA, EPILEPSY

O/E :
On examination patient is conscious, coherent, co-operative
Pallor present 
No icterus, cyanosis, clubbing, lymphadenopathy pedal Oedema
Vitals
Temp: Afebrile
BP:90/60mmhg
PR:100bpm
RR:20/min
SPO2-96%
GRBS-253

Systemic Examination :
Cvs - S1S2 +
RS -BAE+
P/A- soft, tenderness in the umbilical region
No organomegaly
Bowel sounds heard.
CNS-NAD

Investigations :
Provisional Diagnosis
Acute Gastroenteritis,with persistent hypotension..

Treatment :
IVF 1 unit NS & RL
Inj.Pan 40mg po/od
Inj.zofer 4mg Iv/tid
Tab.sporolac Ds po/tid
Inj.optineuron 1amp in 100ml iv/od

Popular posts from this blog

BIMONTHLY ASSESSMENT FOR FEBRUARY.

Image
This is my submission for the Bimonthly internal assessment for the month of February ." Most of the information here have been collected from different reference sites, links to which have been mentioned.The points copy pasted have been put in quotes. The questions to the cases being discussed are from the link below: https://medicinedepartment.blogspot.com/2021/02/medicine-paper-for-february-2021.html?m=0 50 year man, he presented with the complaints of Frequently walking into objects along with frequent falls since 1.5 years Drooping of eyelids since 1.5 years Involuntary movements of hands since 1.5 years  Talking to self since 1.5 years  More here: https://archanareddy07.blogspot.com/2021/02/50m-with-parkinsonism.html?m=1 Case presentation links:  https://youtu.be/kMrD662wRIQ a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings? problem presentation: drooping of eyelids since 8 to
Read more

60yr old male with Cholelithiasis with AKI on CKD with k/c/o type 2 Diabetes mellitus with hypertensive urgency..

Image
This is an online E log book to discuss our patients deidentified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients 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. Here is a case I have seen Unit 4 admission on 5/3/21 Dr Supriya Dr Mohitha Dr Sowmya Dr Amrutha  Dr Sanjay Dr DurgaKrishna PGY1  Dr Ajith Kumar PGY2 Dr Laxma Reddy PGY3  Dr Manasa PGY3  Dr Vijayalaxmi Asst. prof. 60 yr old male presented on 5/3/21 to casualty with  C/o pain in the right hypochondrium from 3 days C/o decreased urine output from 1 day C/o vomitings from today morning Patient was apparently asymptomatic 3 days ago then he developed pain in the right hypochondrium which was coli
Read more

General Medicine BIMONTHLY EXAM 2 March 2021...

Image
bimonthly examination - march 1) Please go through the patient data in the links below and answer the following questions: https://ashakiran923.blogspot.com/2021/03/60-years-old-male-fever-under-evaluation.html?m=1 a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings?How specific is his dilated superficial Abdominal vein in making diagnosis? -Based on the clinical symptoms and signs, the clinical diagnosis of the patient can be-  UTI with cirrhosis of liver with portal hypertension.  b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? What is the cause of his hypoalbuminemia?Why is the SAAG low? -The etiology of the disease in this patient could be a chronic history of alcoholism. Chronic smoking leading to his apthous ulcers.  Based on his clinical finding there could be portal hypertension which could have been preceeded
Read more