Concluded Case

AGE RELATED CEREBRAL ATROPHY HEPATOMEGALY Č SPLENOMEGALY Č CYST

A 66 years old male patient, complaining č pain abdo. nousea č vomiting, blood in urine, sudden weakness in right upper and right lower limb. CHIEF COMPLAINTS Severe pain during urination č burning , hypertension. OTHERS COMPLAINTS Confusion, restlessness, fatigue, dizziness URL NM LRL NM VITALS BP 170/90 mmHg Pulse 96bpm R/R 20bpm PHYSICAL EXAMINATION CGW Chest B/L clear Abdo. distended DM° COPD° DYSPNEA° PALLOR° Chest pain° Oedema +++ Oedema in feet +++ Afebrile CVS s1 & s2 P Investigation CBC RBS RFT LFT HEPATITIS B & C R/E urine Electrolytes Serum amylase & lipase Usg of whole abdo. CT scan of brain. ECG TREATMENT PPI Levomac Urispas Somazina Tab. Met - XL Tab. Levera Tab. Amiton Cap. Banfo forte Tab. Fenax Cap. Ramcor Cap. Essentiale L Corticosteroids Continue physiotherapy given. Now the patient's condition is stable..... Ahead what will be the best management.

(Edited)

4 Likes

LikeAnswersShare
Concluded answer

Check se.electrolytes. Urine c/s. 50 cc residual urine is not a significant amount to cause concern.

All Answers

NCCT clearly stats and shows ventrucular and periventricular ischimia Pt is hypertensive So this is a c/o CVA Stroke Pt was probably on anti coagulants or antiplatelets hence hematuria and related symptoms I don't think gr1 BEP with post void 50cc urine is concern I will treat this case as a c/o STROKE Inj NS Inj manitol Inj lasix Inj dexamethasone Inj Ceftriaxozone Inj ondestron Inj pantaprazole Rest supportive treatment

Thank you sir
0

View 4 other replies

JUST AS WE HAVE AGRE RELATED CEREBRAL ATROPHY A R HEPATOMEGALY A R SPLEENOMEGALY AND CYST WE HAVE AGE RELATED MACULAR DEGENERATION WHICH IS OF TWO TYPES DRY TYPE WET TYPE WET TYPE IS VISUAL THREATENING AND DRY IS NOT BESIDES AGE OBESITY IS ALSO A RISK FACTOR FOR ARMD I

Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

आयुर्वेद के अनुसार रोगी वात व्याधि से ग्रस्त है। चिकित्सा संबंधी योग,,,,, बृहत वात चिंतामणि रस स्वर्ण युक्त 1 रत्ती एकांग वीर रस 2 रत्ती रस राज रस 1 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। महारास्नादि क्वाथ 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Continue treatment with advice of neurologist

Thank you doctor
0

View 1 other reply

BEST MANAGEMENT GIVEN BY YOU SIR NICE CASE RESPECTED SIR

Check se.electrolytes. Urine c/s. 50 cc residual urine is not a significant amount to cause concern.

Thank you doctor
0

Conium m

Conservative management And Symptomatic treatment

Continue treatment.check urine r/m

Cases that would interest you