After seeing the report, this treatment has just started.give me adv.
A 46 year old female h/o p/v bleed last 10 ago.body ache generalized weakness
Anmia & blood sugar random 210 trifer syrup orfer XT tab IV ns infusion mixing orfer s 100mg iv slowly give glynase mf tab moktel women cap dolonex DT tab
Inj Monocef 1 GM bd Inj pan 40 mg bd Inj emeset 4 mg TDs Inj pcm 1gm SOS if fever tab glycomet gp1 bd after 7 days bsl fasting and pp Multivitamins supplements Adv urine r/m,chest x-ray,USG abdomen and pelvis
From reports it appears to be a c/o diabetes with septicemia as tlc is over 15000 Chest xray shows ground glass appearance with prominent bronchovascular markings bilateral Liver enzymes are raised But pts complaints is bleeding p/v That means primary focus is gynaecological problem hence gynaecological examination and investigations usg and p/s vaginal examination Broadspectrum antibiotics like amoxyclav625mg 1bd Tab lenazolinid 600mg 1bd Rest supportive and symptomatic treatment
Cases that would interest you
- Login to View the image
A 74 yrs old female PT Having recurrent stomatitis.C/o burning sensation mainly to tongue at tip and borders on only spicy food intake.On regular medicine of Tenoric 25 and Tab.GlynaseMF. Sugar well controlled on OHA. No Asthmaor any skin disease. On regular walking exercise,Pure vegetarian.Taken Folvite,B complex for some days but recurrancy in symptoms. Hb- 11.7,TC_7400,Differential count WNL,MCV-89.14,MCH-28.89,MCHC-32.41,HAEMATOCRIT-36.1(40-54),NORMOCYTIC,NORMOCHROMIC. Resp.Drs pl guide line of management.
Dr. Rajendra Nikam11 Likes33 Answers - Login to View the image
40 Y/F has Puffiness on both Eyes No Itching No Fever Report Shows Sgot 199.70 Sgpt 225.2 No Other Problem Please advise a Best line of Treatment
Dr. Arif Mirza5 Likes29 Answers - Login to View the image
17 years boy. Such lesions for last 6 years. C/O- Severe itching with discharge. Diagnosis and treatment.
Dr. S M Sarfaraj7 Likes35 Answers - Login to View the image
40 years old non diabetic female presented with lesions as depicted in images over hands, hip, feet ,abdomen and a scalp with itching. The lesions look crusty .Initially I thought they were psoriasis but now since the lesions have spread and crusty in nature, what could be the diagnosis and also management, because I'm unable to arrive at the diagnosis .Will skin biopsy help? Please guide me with proper treatment as eell
Dr. Mayank Gupta9 Likes55 Answers - Login to View the image
This case is an update to my previous posts. Patient with stroke with multiple ischaemic ulcers and bed sore on involved lower limb. H/o DM/htn present. Involved extremity is non functional. Complete iliac artery block on involved side with multiple collateral formation restoring blood supply. Almost 90% of the wounds have healed. It took almost 6 months to heal. No unnecessary skin grafting, no unnecessary surgery. Just wound debridement with proper wound management and proper nutrition. I would like to thanks Curofy for providing this helpful platform and all the respectable doctors for providing their valuable suggestions whenever required.
Dr. Rajesh Sharma Pt (Pt)4 Likes14 Answers
2 Likes