General medicine online summative assignment (july)
Case 5 :-Patient with AKI Link to the case is below :
http://chavvaclassworkdecjan.blogspot.com/2021/06/pancreatitis-in-chronic-alcoholic-with.html?m=1
⇒Pancreatitis occured due to chronic alcholism. Many investigations are done including ultrasound to get a detailed view of the liver and if condition due to alcholism.
Case 6- Patient with AKI Link to the case is below :
https://casescape.blogspot.com/2021/06/acute-kidney-injury-secondary-to.html?m=1
⇒Urosepsis is seen as there is infection of urinary tract. Generalized lymphadenopathy is present. For more information regarding urosepsis refer below link:
https://www.ncbi.nlm.nih.gov/books/NBK482344/
Case 7:- Patient with acute on CKD Link to the case is below :
https://krupalatha54.blogspot.com/2021/06/this-is-online-e-log-book-to-discuss.html?m=1
⇒He was suffering with decreased urine output and vomitings and loose stools which are gradually subsided. Even fever is also spiked.
QUESTION 4
CASE1
Diagnosis : AKI secondary to UTI, associated with Denovo - DM -2
Treatment :
1)IVF : -RL @ UO+ 30ml/hr -NS
2)SALT RESTRICTION < 2.4gm/day
3)INJ TAZAR 4.5gm IV/TID
|
2.25gm IV/ TID
4)INJ PANTOP 40mg IV/OD
5)INJ THIAMINE 1AMP IN 100ml NS IV/TID
Diagnosis : Hyperuricemia 2° to Renal failure
Treatment:
• IVF - NS-0.9% @100ml/hr
• Inj. Tazar 2.25gm I.V -TID
• Inj. Lasik 40mg I.V -BD
Diagnosis: Chronic interstitial nephritis secondary to plasma cell dyscariasis
Treatment:
- T. PAN 40mg /PO / OD
- oral fluids upto 1.5 - 2 lit / day
- Protein - x ( plant based ) 2 tablespoon in 1 glass of milk
Diagnosis: DKA with AKI
Treatment:
Inj. NORAD 2amp in 50ml NS
Inj. PIPTAZ 2.25gm.
Inj. DOPAMINE 2amp in 50ml
Inj. HAI 1ml in 39ml NS
Diagnosis:INFECTIVE ENDOCARDITIS
Treatment:
2. Inj. Vancomycin 500mg IV/BD in 100ml NS over 1hr
3. Procto clysis enema
4. Inj. Pan 40 mg Iv/OD
Diagnosis: Renal AKI secondary to urosepsis with b/L hydroureteronephrosis
Treatment:
Injection PIPTAZ 4.5 stat and 2.25 gm IV/ TID
Injection LASIX 40mg IV/BD
Injection optineuron 1AMP in 100ml NS slow IV/OD
Diagnosis: HFrEF secondary to CAD; CRF
Treatment:
2.TAB. NITROHART 20/37.5mg 1/2 T/D
3.TAB NICARDIA XL 30mg OD
4.TAB. GLICIAZIDE 80mg BD
5.TAB. NODOSIS 500 mg TD
Diagnosis: Acute on CKD
Treatment:
2. Tab. Wysolone 40 mg ×10 days.
30 mg × 10 days
20 mg ×10 days
10 mg ×10 days.
3. Tab . Lasix 20 mg × 1 month.
Diagnosis: Alcoholic Hepatitis and aki sec to gastroenteritis
- INJ THIAMINE 100 mg in 100 ml NS slow IV / TID
- INJ OPTINEURON 1AMP in 100 ml NS slow IV / OD
- INJ LASIX 40 mg
Diagnosis: Acute Kidney Injury secondary to Urosepsis
Treatment:
IVF - NS @ UO + 50 ml/hr
Diagnosis: pancreatitis in a chronic alcoholic
Treatment:
IV lasix 40 mg BD .
Tab Nodosis .
IV PIPTAZ 4.5 Gms. BD
Iv 25%Dextrose. 100 ml BD
Iv fluids : NS 40 ml /hr.
QUESTION 5
During the span of 2months I have experienced and seen many cases which are really helpful in clinical way. I have learned many things during the posting session.Even i have got a chance to log for a case the experience was quite helpful for me in understand how the system works. The General medicine department has done a quite a good work in making us understand the subject. For every clinical case they have guided us how to study and analize the case. I have learned how to capture the patient centred data for diagnosing the diseas. I have got a chance to see the many types of investigations done in order to diagnose a disease. I am grateful for this opportunity to involve in these study.
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