A 50 year male come to my clinic Dysentery Hypotension Vertigo Please suggest me

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रोगी किडनी डिसिज से पीड़ित है। मेंने पिछले 40 वर्ष से किडनी डिसिज पर सफल अनुसंधान किया है और परिणाम भी अति सुन्दर है। लेकिन मैं आपको इस प्लेटफार्म पर बता नहीं सकता। आप को अगर आवश्यकता है तो फिर आप मुझे फोन करके पूछ सकते हैं फोन नं 9319369184 यह मेरा व्यक्तिगत नंबर है। वाट्स अप नं 7668924699 है।

It's a case of severe anemia cause UGI bleed with ?PHTN Adv BT 2 unit Inj ceftrixone 2 gm iv OD Inj pan 40 iv BD Inj trenexa 1 amp iv sos Inj iron sucrose 2 amp in 1 unit DNS iv over 3 hours Tb RFX 550 mg bd Tb aldactone 50 mg BD Tb bcomplex 1 OD

Pt seems to be in prerenal failure Adv electrolytes Mild leucocytosis Pt experienced vertigo because you f hypotension secondary to hypovolumia Hydrate the pt with proper ionic balance Rx iv fluids Inj NS Inj RL Inj ceftriaxazone Inj metronidazole Inj ciprofloxacin or ofloxacin Inj pantaprazole Inj ondestron Rest supportive treatment So far rest of ix are insignificant GE scopy highlighting oesophageal varicies is at early stage 2d echo highlights mild diastolic dysfunction should be studied in combination of ECG and relative clinical complaints

Thanx dr Azam Mohd
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50/M. C/o - Dysentery With Vertigo , Hypotension. Patient Investigated Report, ANEMIA With Thrombocytopenia , UTI ? REFER TO HIGHER CENTRE , ADVICE HOSPITALIZATION

? ANEMIA .. UREMIA .. WITH .. ASSOCIATED COMPLICATIONS .. NEED'S .. HOSPITALIZATION IN HIGHER CENTERS ..

Tnxs Dr shivraj Agarwal Sir
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Anemia Viral infection Needs Intensive care

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