36YEAR OLD MALE WITH ACUTE PANCREATITIS

Interns
Mohitha
M Supriya
K Soumya
Sanjay
Amrutha

PG
Dr Durga krishna PGY1
Dr Ajith Kumar PGY2
Dr Laxma Reddy PGY3
Dr Manasa PGY3
Dr Vijayalakshmi (asst proff)

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.

36year old male auto driver by occupation
C/O pain abdomen(diffuse) since 2 days
C/o abdominal distension since 2 days
1 episode of vomiting in the morning
Belching since 2 days 
HOPI
Patient was apparently alright 2 days back 
Then he took alcohol of about 300ml ,followed which he developed pain adbomem which was sudden onset,progressive , continuous ,not radiating ,no aggravating relieving factors
H/O vomiting 1 episode yesterday morning 
Non bilious 
H/o loss of appetite from 2 days
H/OBelchingBelchingBelching since 2 days and SOB since 2 days
No h/o tachycardia ,palpitations,decreased urine output
H/O similar complaint 2 years back when he had pain abdomen on consumption of alcohol and was admitted to private hospital
Not a k/c/o DM , HTN,asthma,epilepsy,CAD
H/O appendicectomy 5 years back

Personal history
Drinks ocassionally 
Tobacco - 2 cigarettes /day since 10 years
Gutka -chews daily since 10 year

O/E
Patient conscious ,coherent,cooperative
Vitals-temp- afebrile Bp-140/90mm hg
PR-94bpm,SpO2-99%at RA
S/E
CVS-s1s2+
RS-BAE+
P/A
Inspection-abdomen distended,umbilicus central,inverted,no engorged veins,no visible pulsations, appendicectomy scar present in RIF
Palpation-No local rise of temperature ,diffuse  tenderness in all quadrents ,no palpables swellings
Percussion-tympanic
 Auscultation- bowel sounds heard



Diagnosia- ?acute pancreatitis 
Treatment 
1)NBM
2)IVF -RL ,DNS@100ml/hr
3)Ryles tube inserted
4)Ing PAN 40mg/IV/OD
5)Inj TRAMADOL1 AMP IN 100ml NS IV/OD
6)Inj ZOFER 4mg IV/OD

Popular posts from this blog

54Yr OLD MALE WITH SEIZURES (GTCS)

Image
INTERNS Mohitha M Supriya K Soumya Sanjay Amrutha Dr Durga krishna PGY1 Dr Ajith Kumar PGY2 Dr Laxma Reddy PGY3 Dr Manasa PGY3 Dr Vijayalakshmi (asst proff) Dr Durga krishna PGY1 Dr Ajith Kumar PGY2 Dr Laxma Reddy PGY3 Dr Manasa PGY3 Dr Vijayalakshmi (asst proff) 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. A 54yr old male patient came with Complaints of seizure from yesterday Patient was apparently asymptomatic 6 days back then he developed fever for 2 days (20/2/21)which was low grade ,intermittent
Read more

41 YEAR OLD MALE WITH HIGH COLOURED URINE SINCE 2 YEARS PAIN ABDOMEN SINCE 1 WEEK

Image
Interns Mohitha M Supriya K Soumya Sanjay Amrutha PG Dr Durga krishna PGY1 Dr Ajith Kumar PGY2 Dr Laxma Reddy PGY3 Dr Manasa PGY3 Dr Vijayalakshmi (asst proff) 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. 41yr old male pt came to casuality on 25/2/21 at 7 pm with  c/o high coloured urine since 2 yeara c/o pain andomen since 2 days pt was apparently asymptomatic 6years  back In 2015 he developed high coloured urine for which he went to the private hsptl and was told that he had  ureteric calculi(no medical records)
Read more

31year old male with numbness and weakness of left upper limb and lower limb

Image
Interns Dr Mohitha Dr supriya Dr Sanjay Dr Soumya Dr Amrutha Dr Durga krishna PGY1 Dr Ajith Kumar PGY2 Dr Laxma Reddy PGY3 Dr Manasa PGY3 Dr Vijayalaxmi (asst proff) 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. Here is a case i have seen: 31 old male who is a water supplier by occupation came to casuality at 10pm on 8/3/21 with C/o numbness of left upper and lower limb since yesterday 7pm C/Oweakness of left upper limb and lower limb since yesterday 7pm Patient was apparently asymptomatic  1 day back
Read more