Trio of croup Aconite Hepar sulph Spongia
Restlessness
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A 19yr young girl presented with a/h/o suicidal ingestion of chlorphos..around 50-100ml.. O/E drowsy.. Occasionally responding to v/c.. BP 151/98mmhg HR 135/Min Spo2 90%on 5lt o2 B/l gross crepts + GCS E4M5V5 B/L pupil pin point LR + With intermittent fasiculations.. I admitted her under my care in ICU. Pt was intubated in ER and putted on mechanical ventilation as pts condition deteriorated very soon.. She became unconscious,, not responding,, with b/l chest gross crepts ++.. (ARDS with pul edema?) with persistent seizures.. E1M1V1 She was putted on Pralidoxime infusion,, Atropine infusion,, Lasix,, epsolin,, dexamethasone,, esmolol,, soda bicarb,, magnesium sulphate intermittent bolus doses.. Now after 12 hrs of therapy.. Her GCS has improved,, E4VtM5.. Vitals stable.. Fighting for extubation.. Moving all limbs.. Any more suggestions plz..
Dr. Vijay Amera9 Likes19 Answers - Login to View the image
Fever from two days with high temp *Chief Complaints* Fever with headache.. Temp of body 103 from 2 days.. Pain in legs.. Thrist for small quantity of water. *Vitals* Tem 103.. *Diagnosis* Dengue
Dr. Komal Gupta2 Likes16 Answers - Login to View the image
A 40yrs old female patient presented in emergency with generalized erythematous eruption throughout her body to unknown drug with C/o Severe difficulty in breathing,Drowsiness,Restlessness.H/o Lap chole on 9/6/18 in other hospital.The next day after surgery she was having fever starting with itching all over body after given an unknown injection.O/e BP on Inotropes,Spo2 - 92%,Patient is on Hydrocortisone,Antihistamines,Broad spectrum antibiotics,Continue Oxygen support. N/h/o Comorbidies.All investigations enclosed. Kindly comment on this case with proper management plan??
Dr. Prashant Vedwan10 Likes17 Answers - Login to View the image
please interpret ecg 70 yes f h/o chest pain, perspiration+, nausea and vomiting, restlessness 2 hrs back h/o HTN, CVA no dm on telmisartan hydrochlorothiazide bp 200/92 pr 90/mt cvs,chest NAD CNS conscious, oriented
Dr. Satish Kumar0 Like16 Answers - Login to View the image
2 year male baby restlessness pain abdomen abdomen distended bowel sound present.. fever 100 °f prognosis not good dx and Rx please
Dr. Amitkumar Rai5 Likes25 Answers
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