54year female complains of loose stools ..vomiting since morning h/o fever..headache no h/o chest pain..breathlessness k/c/o DM on regular treatment PR..110/min BP...110/70...RBS..229 SYSTEMIC EXAMINATIONS...NAD Sir/Madam kindly give your valuable opinion for further evaluation and treatment..

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viral gi infection treat symptomatically tab oflokem oz 1 bd x days tab pan 40 1 od a/c x 5 days tab ondem 4 md 1 tds X 5 days electrol solution 3 to 4 times a day if loose stool not control then give cap racedot 100 1 bd x 3 days if not responding futher invg cbc lft hba1c stool rm
ECG is normal.Sir do Complete CBC ,widal,Dengue serology ,Chest Xray,Do RBS ,HBA1c,FBS done. Get one Usg Abdomen done. Now give her Tab Norflox Tz 1×2 Ors for good hydration Inj Ondem 2ml i.m stat Tab Rabiplus-D Od Tab Dolo 650 Tds Tab Taxim-AZ BD
Add gut ok×bd
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ECG- WNL..Acute gastroenteritis
Thank you Mam
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ECG shows Sinus Tachycardia (possibly due to dehydration) Treat Acute Gastroenteritis with Ciplox n Merrogyl with probiotics and iv fluids.. Symptomatic treatmenr
Thank you sir
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Acute gi infection. Continue drugs prescribed by worthy colleagues , avoid PPI,domperidone and azithromycin if you can.
Thank you sir
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ACUTE gastroenteritis IV fluidtill can tolerate oral fluid INJ minestrone im/I ECG opinion givrn
Thank you sir
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Gastroenteritis Do cbc typhoid and @ cbc further dengue or malaria to think about If nothing comes then viral
Thank you sir
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Manage hydration by giving ORS,or I V saline inj periset(ondansetran).
Viral gastroenteritis,Sinus tachycardia
Thank you
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Sinus tachycardia otherwise Normal ECG.
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