Concluded Case

A 20 yrs Post Lucs Pt admitted to ccu c/o convulsions with High BP 170/90 O/E pts drowsy P 104,SpO2 99%,RBC 5×10^6,WBC 19800 N 86 Hb 13.8,Plc 1.45 L Ur 20,Cr 0.9 Chol 385,HDL 43,LDL 248 Tgl 556 Uric acid 12.1, Bil 0.64 , T.protien 8.1 , Alb 3.8 SGOT 697, SGPT 375 , Alk. phos 1014 Please Suggest Treatment

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Concluded answer

HELLP syndrome. Sepsis Cxray shows left simid and lower zonal heziness and mediastinal pull. Findings sugg of collapse consolidation on left. Likely in encephalopathy. Dyslipidemia hyperuricemia. Need to reduce BP by NTG. Iv antibiotics, NIV, uricosuric therapy with statins. Echo CD. ABG. Coagulation profile. Watch on hemodynamic parameters.

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HELLP syndrome. Sepsis Cxray shows left simid and lower zonal heziness and mediastinal pull. Findings sugg of collapse consolidation on left. Likely in encephalopathy. Dyslipidemia hyperuricemia. Need to reduce BP by NTG. Iv antibiotics, NIV, uricosuric therapy with statins. Echo CD. ABG. Coagulation profile. Watch on hemodynamic parameters.

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Pt is in septicemia tlc is 19800 Tachycardia Uricimia as uric acid is 12.1 mg Liver enzymes are raised And lipid profile is dislipidimia Xray chest suggest lt lower zone homogeneous opacity Ct brain cerebral oedema Post surgical convulsion due to septicemia as a result of asipration pneumonitis probably surgery was done in GA

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Possibly eclampsia complicated by aspiration pneumonia.manage by gradual BP reduction,IV fluids, antibiotics,IV magnesium sulfate and anticonvulsants with antibiotics for the pneumonitis.

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SUGGESTIVE OF SEPSIS .... COLLAPSE CONSOLIDATION... TACHY... CEREBRAL. EDEMA POST. SURGICAL CONVULSIONS

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Hutus herenia

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