24/F C/O VOMITINGS ,LOOSE STOOLS SINCE MORNING (2 EPISODES), C/O HEADACHE, BODYACHE SINCE MORNING

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UNIT 2 ADMISSION

Dr.VAMSHI KRISHNA (INTERN)

Dr.PRADEEP (INTERN)

Dr.JAYANTH (INTERN)

Dr.ISMAIL (INTERN)

Dr.YAMINI (INTERN)

Dr.AMULYA (INTERN)

Dr.PRADEEP (PG 1st YEAR)

Dr. NIKITHA(PG 2nd YEAR)

Dr.SUFIYA (PG 3rd YEAR)

Dr. SATHISH (PG 3rd YEAR)

FACULTY: Dr. VIJAYALAKSHMI

here is a case I have seen

24 yr F came to OPD with 

c/o vomitings since morning (2episodes)

loose stools since morning (2 times)

headache,bodyache since morning

pt was apparently asymptomatic 1 day back she had 2 episodes of vomitings (projectile, non foul smelling, non bile stained, )

NO H/O fever

N/K/C/O HTN/DM2/ASTHA/EPILEPSY

O/E : PT C/C/C

TEMP: AFEBRILE

BP:100/60

PR:102 BPM

RR:22 CPM

SPO2:99%

GRBS : 112 MG

SYSTEMIC EXAMINATION:

CVS : S1, S2 + NO ADDED SOUNDS

CNS: NAD

R/S: BAE +

P/A : SOFT, NONTENDER

PROVISIONAL DIAGNOSIS:

ACUTE GASTROENTERITIS UNDER EVALUATION

TREATMENT:

1)IVF NS, RL, DNS @ 50 ML/HR

2) INJ. PANTOP 40 MG/IV/OD

3)INJ. ZOFER 4MG/IV/TID

4)INJ. METROGYL 500 MG/IV/TID

5)INJ. GPROFLOXACIN 500 MG/IV/BD

6)ORS SACHETS 2 IN 1 LIT WATER, 200 ML AFTER EACH EPISODE

7)T. PCM 500 MG/PO/BD

8) STRICT I/O CHARTING

9)BP/PR/TEMP HOURLY

10)GRBS 8 TH HOURLY