23yr old with vomitings

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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.



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