Kindly Suggest Treatment 15y/F Children HYPOXIA Short of Breathing, Restless, Conscious is Present COViD-Negetive, Malaria-Negetive, Typhoid- Negetive,Mantoux10tu- Negetive,No- Fever, No- Cough, spo2- 98, RR- 19, PR- 69, Bp- 127/77 Quick Releaf -Olanzapine Injection {IM} Escitalopram 5mg -BD Doge Olanzapine 2.5 mg OD Dose Clonazepam 0.5 Mg OD Dose Stills Condition But Reduce Medicine Repeated Same Condition,

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Ecg 2decho xray chest and blood reports every thing is normal You mentioned pt is hypoxic While spo2 mentioned is 98% which is satisfactory saturation Pulse and bp are clinically normal not supporting hypoxia You said pt is conscious and relieved by inj olanzapine that indicates pt is depressive and hysterical If you are convinced pt is hypoxic is pt is cynosed have you done ABG Consider the clinical status

Thanx dr Anant Gaikwad
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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!

Child is hypoxic. Major things are missing in the history and physical findings.Teceived Olaz inj ,Escitalopram .What was the clinical diagnosis for giving these med.Needs good history and physical exam. Ref to Pediatrician.

Thank you doctor
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Patient is suffering with Dissociative [Conversion] Disorder (DCD). Refer the patient to the Psychiatrist for better treatment.

Thank you doctor
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Plz mention the spo2 , chief complaints, clinical findings etc Is it associated with apnea spells? So that discussion will be helpful

spo2-98
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Cerebral hypoxia is a form of hypoxia (reduced supply of oxygen) specifically involving the brain; Prolonged hypoxia induces neuronal cell death via apoptosis, resulting in a hypoxic brain injury. So going by the definition of the disease condition the case is Anukarma Asadhya.

Why you say hypoxia with rr 19, pr 69, spo2 98?? These finding is suggestions normal saturation.. Still worried get an ABG for PaO2

Thank you doctor
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All reports are normal, Clinicaly patient suffer from depression, Sometime during menses also, this happens

Menses - no this times,
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Spo2 , Bp and RR with in Limits. Get Psychiatric Counselling. EEG Later.

Thank you doctor
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Patient is an adolescent female with normal reports. Probably a case of conversion disorder. Please explore the personal history and also consult a psychiatrist if possible. For treatment placebo will suffice.

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