40 year female with vomitings and loose motions and anuria

40 year female with vomitings, loose motions and anuria

 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 patients clinical problems with collective current based inputs.

40 year old female brought to casualty on 27/08/22 with chief complaints of
1) loose motions since yesterday
2) vomitings since yesterday
3) anuria since yesterday

HOPI
pt was apparently asymptomatic since 26/08/22.she attended a family gathering  and ate mutton .

On 27/08/22  she had vomitings and loose motions since  mrng 4:00am.

 vomitings :about 10 to 15 episodes,

•watery in consistency 

•non foul smelling , non bilious, non projectile, 

•not a blood stained,

•not associated with nausea, fever, not associated with abdominal pain

loose motions :since 4.00 am in the mrng

• about 10 to 15 episodes

• watery in consistency, 

•not foul smelling and not blood stained 

•no blood in stools.

• not associated with abdominal pain, fever

•Complaints of anuria since yesterday 8:00am for which admitted at nalgonda hospital at 10:00 am. and discharged at 9:00 pm and got relieved of vomitings and loose motions and was put urine bag and referred here

DAILY ROUTINE
wakes up at 6 :00 am and does her routine work and prepares food and goes to work at 9: 00am and returns home at 5:00 pm and cooks food and goes to bed at 9:00pm

PAST HISTORY:-
not a known case of DM HTN ASTHMA EPILEPSY TB

PERSONAL HISTORY
DIET:- Mixed
APPETITE:- Decreased
SLEEP:-inadequate
BOWEL AND BLADDER MOVEMENTS:-loose stools and anuria
ADDICTIONS:-consumes toddy occasionally ( during festivals)

FAMILY HISTORY
not significant

GENERAL EXAMINATION
pt is conscious coherent cooperative well oriented to time place person

pallor- mild
icterus- absent
clubbing- absent
cyanosis- absent
edema - absent
lymphadenopathy- absent

VITALS:-( at the time of admission)
BP :-110/70mm hg
PR:-82 bpm
GRBS:-119 mg/dl
TEMP:-:-98.6

SYSTEMIC EXAMINATION
CVS- S1 , S2 heard , no added murmurs
RS - BAE present, vesicular breath sounds heard
CNS - Intact
INSPECTION 

 shape - schapoid and symmetrical
umbilicus- inverted and central in position
no visible scars, dilated veins
Palpltion- no local rise  of temperature, tenderness in umbilical , rt and lt lumbar, hypogastrium.

spleen and liver not palpable

no palpable mass

Bowel sounds-heard





DIAGNOSIS:- 

Acute gastroenteritis with AKI?

INVESTIGATIONS




















29/08/2022






30/08/2022

Treatment

28/08/2022
1) 2 U NS bolus if no urine output inj.lasix 10 mg IV stat---------> NS , RL @ 100 ml/ hr
2) T.Loperamide 4mg po stat
3) Inj.Pantop 40 mg IV OD
4) Inj.Zofer 4mg IV / sos
5) Inj . Monocef 1gm  IV BD
6) Inj. Metrogyl 100ml IV TID
7) ORS sachets in 1 Litre water 200 ml after each stool
8) Tab Splrolac 2 tabs PO BD
                 
29/08/2022

1.IV fluids NS RL @100 ml /hr
2.INJ.Pan 40mg IV/ OD
3.INJ.zofer 4mg/IV/SOS
4.INJ.Monocef 1gm/IV/BD
5.INJ. Metrogyl 100ml IV/TID
6.ORS sachets 1 in 1 litre of water 200ml after each stool.
7.TAB.DOLO 650PO/SOS
8.T.sporolac 2 tabs /PO/OD
9.INJ.Neomol 1gm /IV/SOS

  30/ 08/ 2022

1.IV fluids NS RL @100 ml /hr
2.INJ.Pan 40mg IV/ OD
3.INJ.zofer 4mg/IV/SOS
4.INJ.Monocef 1gm/IV/BD
5.INJ. Metrogyl 100ml IV/TID
6.ORS sachets 1 in 1 litre of water 200ml after each stool.
7.TAB.DOLO 650PO/SOS
8.T.sporolac 2 tabs /PO/OD
9.INJ.Neomol 1gm /IV/SOS

31/08/2022

1) IV Fluids NS , RL @ 100ml/h
2) INJ ZOFER  40 mg IV /OD
3) INJ PAN 40 mg IV /sos
4) INJ MONOCEF 1 gm IV/BD
5) INJ. METROGYL 100ml IV / TID
6) ORS sachets in 1 Lit of water 200 ml after each  stool
7) TAB PCM 650 mg PO/sos

1/09/2022

1.TAB.Pan 40mg PO OD
2.TAB.zofer 4mg PO SOS
3.TAB PCM 650 PO SOS
4.TAB MVT PO OD

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