case presentation

1. BY
B.LAKSHMI
15EAITOOO7

2. PATIENT PROFILE
• NAME :Mahesh
AGE :22Years
SEX :MALE
WARD :GMMW
ADMISSION DATE :08-11-19

3. OBJECTIVES
CHIEF COMPLAINTS:-
 Fever since 1 week
 Joint pain since 1 week
HISTORY OF PRESENT ILLNESS:-
• H/O fever
High grade with chills
• H/O joint pains with swellings
• No cough
• No rashes

4. VITAL MONITORINGS
GENERAL EXAMINATION
Patient is c/c
BP:100/70mmhg
PR:32bpm
SYESTEM EXAMMINATION
CVS-S1 S2 +VE
RS – Clear
CNS – NAD
P/A- Soft

5. LAB INVESTIGATION REPORT
BLOOD SUGAR : 110mg/dl
BLOOD UREA :24mg/dl
SERUM CREATININE : 0.7mg/dl
SERUM BILIRUBIN : 0.8mg/dl
SGPT :13u/l
SGOT :28U/L
LIVER - 12.25cm normal size
GALL BLADDER – wall edema noticed
PANCREAS - normal
SPLEEN - 10.5cm in size
URINARY BLADDER- partially filled

6. DIAGNOSIS
It is diagnosed to know that the patient has
“ Fever with polyarthritis”.

7. POLYARTHRITIS
Polyarthritis is any type of arthritis that involve 5 or more
joints is usually associated with auto-immune conditions and
may be experienced at any age.
Polyarthritis can present as acute episodes or it may be
chronic, lasting for more than 6 weeks.
Polyarthritis can follow many viral infections. It may evolve
into a specific type of auto-immune diseases , such as
rheumatoid arthritis, lupus.

9. JOINTS
A joint is a point where 2 or more bones meet. There are 3
main types of joints.
1. Fibrous(immoveable)
2. Cartilaginous(partially movable)
3. Synovial(freely movable)

11. CAUSES OF POLYARTHRITIS
There are many different causes of polyarthritis such as:-
 Cancer
 Gout
 Sarcoidosis
 Lupus
 Rheumatoid arthritis
 Chikungunya
 Parovirus

12. SYMPTOMS OF POLYARTHITIS
 RASHES
 SKIN NODULES
 SORE THROAT(PHARYNGITIS)
 LYMPH NODE SWELLING
 SWELLING IN LOWER EXTREMITIES

13. DAILY VITALS
S.NO SYSTEMS DAY 1 DAY 2 DAY 3 DAY 4
1 BP(mm Hg) 110/70 100/60 120/80 120/70
2 PR 82bpm 78bpm 80bpm 74bpm
3 Rs Clear B/A
Crept
Clear Clear

14. DRUG CHART
S.NO DRUG
NAME
CATEGOR
Y
R.O.A DOSE
DAY
1
DAY 2 DAY 3
DAY 4
1 Inj.Artesi
nate
Anti-
malarial
IV 120mg √ √ √ √
2 Inj.Ceftri
axone
Anti-biotic IV 1gm √ √ √ √
3 Cap.doxy
cycline
Anti-biotic --
-
100mg √ √ √ √
4 Inj.panto
p
Anti-ulcer IV 40mg √ √ √ √
5 Tab.parac
etamol
NSAITS
Oral
500mg √ √ √ √
6
7
IVF
Tab.B-
complex
--- --- 2 NS
2 DNS
√ √ √ √

15. NON-PHARMACOLOGICAL
TREATMENT
•In general, people with arthritis should be advised to maintain
an ideal body weight and adhere to a balanced diet containing
adequate amounts of protein, fat, vitamins, and minerals and if
the patient’s body mass indexes greater than 30 they should be
advised to lose weight.

16. DRUG INTERACTIONS
• Between Doxycycline and Ceftriaxone ,
doxycycline decreases the effect of ceftriaxone
by pharmacodynamics antagonism .
Bacteriostatic agents inhibit the
effects of bacterial agents.