Viral pneumonia

-

 

A 60 yr old male farmer by occupation, resident of narketpally came to the casuality 

with chief complaints of dry cough, sob since 3 days and fever since 1 day.


Hopi: patient was apparently asymtomatic 3days back then he had dry cough, progressive in nature not associated with any diurnal/ postural variation.

sob initially grade -II gradually progressed to grade-IV. 
not associated with any PND,orthopnea, pedal edema.
from day 1 patient is having fever, low grade, intermittent, not associated with chills and rigors, relieves on taking medication.

No h/o any decreased urine output.


Past history: 
no H/o of diabetes hypertension,asthma,TB, epilepsy

Genral examination:
pt is c/c/c, 
afebrile.
BP-140/80, 
pr-104, 
sats-89(at 15L of o2)

Diagnosis: Viral pneumonia with type 1 respiratory failure with AKI

Clinical pictures:-






Treatment:-

1. O2 inhalation to maintain spO2 >92%
2. IVF NS, RL @75 mL/ hr
3. Inj. ceftriaxone 1gm iv/bd
4. Tab. AZITHROMYCIN 500 mg po/od
5. Inj. Pan 40 mg iv /od
6. Inj thiamine 1 ampoule in 100 ml ns iv/bd
7. Nebulisation with duolin 12th hrly, budecort 8th hrly 
8. Inj LASIX 20 mg iv/bd
9. Tab. Atoz po/od
10. Strict i/o charting
11. Temp charting 4th hrly 
12. Intermittent BiPAP for 30 min every 6th hrly

Comments


Comments

Post a Comment

Popular posts from this blog

30f with osteomalacia??

-
Image
A 30yr Old Female with ? Osteomalacia 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 I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan CASE A 30yr old female, Daily wage Labourer by occupation came to OPD with cheif complaints of Pain in B/L Lower limbs since 2 years.  Patient wa
Read more

83 MOHAMMED WAHAAJ BIMONTHLY ASSIGNMENT

-
 BIMONTHLY  ASSIGNMENT (August)   BELOW IS THE LINK TO THE QUESTIONS ASKED TO US:- http://medicinedepartment.blogspot.com/2021/08/medicine-paper-for-aug-2021-bimonthly.html QUESTION 1:- Below is the link of the student for which I am giving my peer review. https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006003-case-presentations.html?m=1 LONG CASE  :- A 44 year old man presented with a 3-day history of bilaterally symmetrical rapidly progressive generalized edema. REVIEW:- The Case is well presented and  p atient data has be deidentified and privacy is marked. C ase history is taken beautifully precisely taken including social ,educational and surgical  history which is way too essential to understand the socio economic back ground of the patient and helpful in accurate diagnosis. FINAL DIAGNOSIS : - Acute Glomerulonephritis, likely due to Secondary Amyloidosis due to Chronic Poorly Treated Seronegative Erosive Rheumatoid Arthritis. Dilutional Hyponatremia secondary to A
Read more

RIGHT HEART FAILURE SECONDARY TO COPD

-
Image
  under the guidance of Dr. Rishik (Intern) This is an online e-log platform to discuss case scenarios of a patient with their guardian's permission. I have been given this case to solve in an attempt to understand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including, history, clinical findings, investigations, and come up with a diagnosis and treatment plan. CASE SCENARIO: A 52yr old patient came to the ward on 29 June 2021 with chief complaints of  right lower limb swelling, intermittent fever (alive and well), shortness of breath  since 3days, and  burning micturition  for 15 days. HISTORY OF PRESENTING ILLNESS The patient was asymptomatic 5days ago, after which he developed right lower limb swelling up to the knee. No H/O trauma, thorn prick, nausea, vomiting c/o a small wound, watery discharge since 2 days Fever- 5days intermittent, low grade, a/w chill A light rise in temp sob on exertion -5days a/w cough- 1
Read more