40 year female with vomitings and loose motions and anuria
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40 year female with vomitings, loose motions and anuria
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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
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
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
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