feverprojr - ENTERIC FEVER - 31/F

 enteric fever : 

date of admission : 13/06/2022

date of discharge : 27/06/2022

discharge type : relieved 





CLINICALLY DIAGNOSED TYPHOID , HHS (RESOLVED) , NEWLY DETECTED DM TYPE 2(HBA1C - 8 ON 1/6/22)

Case History and Clinical Findings

A 30 yr old female patient sweeper in a fertiliser company by occupation brought to casualilty with fever and vomitings and hypersalivation. She had low grade, intermittent fever which relieves on medication not associated with chills and rigors.

HOPI: She had 5 episodes of vomitings for 2 days which contained food particles, non projectile and non foul smelling. She needed support for walking.Fever since 3 days, vomitings 5 episodes(12th &13th June 2022), unable to walk since 2 days

Negative history: no history of shortness of breath, cough, loose stools

Past illness- known hypertensive since 2 years (using Telmisartan- 500mg)NOT a known case of DM, asthma, tuberculosis, diabetes, asthma, epilepsy, CAD

Personal History: 

Mixed diet

Bowel And Bladder- Regular

 Sleep Adequate 

General Examination: Patient is Conscious

Vitals : Temperature - afebrile 

Pulse: 114/min

B.P: 140/80mmHg

SpO2: 98% on RA

GRBS: high

Systemic examination:

CVS - s1s2 +

R/S - BAE +

P/A- Palpable liver, no tenderness, distended abdomen.

CNS - E4V5M6

Treatment Given

IVF NS@100ml 

Inj Monocef@1 gm x IV xBD

Inj Human Actrapid (1ml+39ml NS)@6ml/hr

IVF 20NS@100ml/hr

Injection human actrapid insulin 1ml +39ml NS @ 6ml/hr

Injection zofer 4mg IV BD

Injection pan 40mg IV BD

*GRBS 1hourly*

Monitor vitals hourly

discharge date : 27/06/2022


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