23yr old with vomitings

-
Pt. Came to the casuality with c/o vomitings since 2days.
C/o giddiness since 2days.
C/o chills since 30min.
Hopi: Patient was apparently asymptomatic 2days ago.
Later developed vomitings since 2days.
Food as content with 4 to 5 episodes yesterday and 1episode today.
Associated with giddiness since 2days.
C/o chills since 30min today after vomiting with headache.
C/o thirst present.
No c/o fever, loose stools, sob, burning micturition .
Not a k/c/o DM, HTN, CAD.

Provisional diagnosis: Acute Gastritis with dehydration. 

Rx:
1. Inj. PAN 40mg iv od.
2. Inj. Zofer 4mg iv tid.
3. Ivf NS and DNS @ 100ml /hr.
4. T. Dolo 650mg po tid 
5. Ors sachets in 1lt water bd.

Day 2:
1. Tab. PAN 40mg iv od.

2. Tab. Zofer 4mg iv tid.

3. Ivf NS and DNS @ 100ml /hr.

4. T. Dolo 650mg po tid 

5. Ors sachets in 1lt water bd.
6. Tab. Mefthal spas bd.



Comments

Post a Comment

Popular posts from this blog

70YR OLD FEMALE WITH DECREASED SENSORIUM

-
Image
CBBLE UDHC SIMILAR CASES 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. 70 YR OLD FEMALE CAME TO CASULITY WITH C/O DECREASED APPETITE SINCE 5DAYS. IRRELEVANT TALK SINCE 1DAY. HOPI: PATIENT WAS APPARENTLY ASYMPTOMATIC 15YRS BACK, HAD H/O GIDDINESS AND DIAGNOSED AS HTN ON MEDICATION T.TELMA 20MG OD, DM-II ON T. GLICAZIDE 60MG OD SINCE THEN. H/O DIZZINESS  2YRS BACK - CT BRAIN DONE WHICH SHOWED AGE RELATED ATROPHIC CHANGES. STARTED MEDICATION. REPEATED CT AFTER 1 YEAR ,WHICH SHOWED THE SAME AGE RELATED ATROPHIC CHANGES. 6 MONTHS BACK HAD H/O FALL IN A FAMILY FIGHT AND HAD SUSTAINED INJURY TO RIGHT HIP , BUT NO ABSOLUTE FRA...
Read more

33 yr old male with epigastric pain

-
Image
Patient came to casuality wih c/o epigastric pain since 2pm of 27/2/22. Nausea and vomitings are present since 4pm yesterday.  HOPI:  Patient is a chronic alcoholic since 20yrs. Due to issues with his wife, he is consuming alcohol since 1yr. For the last 7days he is drinking wihout having food. C/o epigastric pain since yesterday  Burning type, radiating to back gradually progressive.  Nausea present, vomitings present of dark black colored. Non bilious, non projectile. C/o Burning sensation in throat Similar episode of binge drinking 2 eisodes in last 1yr. K/C/O HTN since 5yrs , on medication - irregular.  N/K/C/O: DM, TB, asthma. O/E: Pt is C/C/C. Afebrile. Bp: Pr: Rs: BAE+ CVS: S1S2 + CNS: NAD. Abdomen Provisional diagnosis: ? Acute Pancreatitis? Acute Gastritis. 
Read more