Gastroenteritis

 

Case of Gastroenteritis

December 05, 2021

 Case of Gastroenteritis 


A 70 year old female presented to opd with chief

 complaints of lower back pain since 10 days and 

Blebs on right foot since 20 days .


Patient had a fever 15 years back,went to hospital for check up and got to know that she is hypertensive patient .

10 years ago patient had joint pains,mostly elbow joint (patient is not aware of sequence of the pain )


8years back ,joint pains aggravated , started using medications , pain got subsided, stoped using medications and pains started again.


4 years ago underwent tooth extraction when she fell down doing some work.

3 years ago ,had fever ,admitted in our hospital, found that she had some renal problem (no records available ) and later discharged.

One year ago ,patient had facial puffiness,generalized weakness with multiple joint pains.

5 months ago,had severe wrist joint pain with restricted movement, distal interphalangeal joint pain,proximal interphalangeal joint pain .

10 days ago, developed blebs on dorsal aspect of right foot later formed scab with swelling which regressed now.lowe back pain, 2 episodes of vomitings,5 to 6 episodes of diarrhea in a day, burning micturation , cought and shortness of breath. 


General Examination:

No pallor

No cyanosis 

No lymadenopathy

No icterus 

No clubbing

Edema of foot 

Temperature - 96.6 F

Pulse rate 110 per min

Blood pressure 100 /70 - not on antihypertensive from 4 days 

Spo2- 98%

GRBS - 87mg %


Systemic Examination : 

RS - Bronchial artery embolization +, Normal vesicular breath sound +

CVS - S1, S2 heard 

Per abdomen - soft ,non tender 


Investigations : 

Haemoglobin- 5.6

Urea -89

Creatinine-3.1

UA - 18.4

Ca - 10 

Phosphates-4







Provisinal diagnosis:

Acute Gastroenteritis 

Iatrogenic Cushing's syndrome 

TREATMENT:

Inj-optinueron 1 amp 100mg IV

Tab-Trednidone 5mg

Tab-Ultracet 1/2 mg

ORS sachet in 2 litres water after each stool

Comments

Post a Comment

Popular posts from this blog

Prefinals general medicine

Image
1) Define heart failure. Etiology and clinical features of heart failure? How do we diagnose heart failure clinically , physical examination and various modalities used in diagnosis of heart failure.    2) Define cirrhosis of liver. Etiopathogenesis of cirrhosis. Write a brief note on clinical features diagnosis and treatment of chirhosis of liver. 11) acitic fluid analysis  12) protein pump inhibitors  15) differential diagnosis of fever with rash 16) insulin therapy in diabetes mellitus 20) hormones secreted by pituitary gland 4)Etiology of plural effusion and diagnostic criteria 5)diagnosis and treatment in dengue fever 10)complications of dialysis  3) elaborate on clinical features and diagnostic modalities in diagnosis of renal calculi 9)etiology and treatment of pneumonia  7) treatment of acute pylonephritis 6)clinical features and diagnosis of peptic ulcer disease  8)treatment of abdominal tuberculosis  17) antihypertensive drugs in chronic renal failure
Read more

A 46 yr old male with chest pain-

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 A 46 yr old male patient presented to the opd with the chief complaint of chest pain, increased sweating and pounding of heart since one month. History of present illness: He was apparently normal 1 month back then he developed chest pain profuse sweating and palpitations.   Then he went to nearby hospital .There he was diagnosed with coronary artery disease , given medication and admitted for 4 days then discharged. They suggested him to get angiogram done. Now after one month he presented to the opd with the similar problems. He noticed that chest pain increased upon climbing stairs and brisk walk
Read more