What are you prescribe
53 y/o female with chronic abdominal pain H/o colostomy before 4 yrs Chief Complaints Abdominal pain ,vomiting ,
A c/o malignancy CA colon undergone colostomy Ct abdomen suggest mets in liver and pancreas as well as in mesothelium It is malignant pain abdomen Post operative mx of pain Pt may be kept visiting to pain clinics where they can be well managed by anaesthetists Inj tramodol Inj stemetil Inj pentazocin or pethidine Pt may be kept on extradurals or iv ketamine under supervision of anaesthetists
A c/o malignancy CA colon undergone colostomy Ct abdomen suggest mets in liver and pancreas as well as in mesothelium It is malignant pain abdomen Post operative mx of pain Pt may be kept visiting to pain clinics where they can be well managed by anaesthetists Inj tramodol Inj stemetil Inj pentazocin or pethidine Pt may be kept on extradurals or iv ketamine under supervision of anaesthetists
Patients under supervision of Anaesthetic and inj Tramadol and inj stemetil and inj pethidine and 7 days under copd
Unstable angina
Pseudo pancreatic cyst. With liver haemangioma
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32yr/male, c/o occasional discomfort in the sternal regional ( chest tightness and breathing difficulty) . this episode lasts for half to one hour.c/o lightheadedness ( last for nearly an hour). c/o epigastric discomfort +.c/o sweating.C/o indigestion and belching (severe ) for past 1 month.No c/o vomting/nausea/ chest pain / headache.No c/o fever. His CBG , Blood pressure were normal at the time of incidence. he is known smoker but stopped for 3 months.His CBC ,ECG, THYROID PROFILE , CHEST X RAY WERE NORMAL.On examination CVS, RS WERE NORMAL. Bowel and bladder habits were normal.per abd-soft and BS +. the above complaints relieved by antacids and for PPI. eventhough he is on antacids he is still have the same problem . Now patient is on HP KIT BD for 10 days,Tab.nexito 10mg half HS for 5 days,tab. ativan 1mg hs for 10 days. tab. Revotril 0.5 mg half tablet twice a day for 10 days,tab.domstal BD for 20 days. he has been admitted in private hospital and treated there for 3 days and discharged with above medications .Again patient is having the similar complaint from today early morning. all his vitals were stable .kindly suggest me how to proceed further and what all are the medications to be added or any other investigation that we need to do for this patient. what suggestions can we give to the patient.I am posting all the investigations that done to the patient till date.kindly interpret the patient PFT. only rearrangement in LFT.
Dr. Gokul Raj2 Likes19 Answers - Login to View the image
71 yr old male choronic smoker c/o exertional dyspnea e sweting and heaviness of chest bp 140/90 .rr 16 pr 78 .chet clear ecg as below finding ?
Dr. Mohd Waquar1 Like25 Answers - Login to View the image
58 yrs diabetic male,presented with chest pain and sweating since last evening. BP 100/70mmhg.on going chest pain+ ECG on admission is displayed. CAG sugg of LAD 90%, RCA 30%, underwent Primary angioplasty to LAD. post PTCA ECG is also displayed. now patient is hemodynamically stable and pain free.
Dr. Sandeep Ghodekar3 Likes16 Answers - Login to View the image
34 year old male with burning pain in the epigastrium presented to the emergency. It was partially relieved by antacids. ECG was done - share your views
Dr. Manish Malhotra6 Likes19 Answers - Login to View the image
55 yrs old female pt bp spo2 rbs within normal limit no history of DM ht chest pain
Dr. Ravi Kediya4 Likes28 Answers