It may serve the academic needs of medical & pharmacy students

1. CASE ON
PULMONARY
OEDEMA
09408103
10-4-14

2. A 44years old male patient was admitted in the hospital on
1-4-14 .
C/O:
History of shortness of breath since 3 days .
O/E:
patient: conscious / oriented ,
pallor: nil ,
cyanosis: nil ,
clubbing: nil ,
edema: nil ,
oral cavity: normal ,
icterus: nil ,
lymph nodes: normal ,
temperature: A febrile,
pulse:114/min,
B.P:210/140mmHg ,
P/A: soft ,

3. PAST MEDICAL HISTORY:
Not a known case of D.M, Hypothyroidism, etc…
but he is a known case of HTN, CHRONIC KIDNEY DISEASE on dialysis
.
PAST MEDICATION HISTORY:
Tab. Calcigard retard ,
Tab. Betalac ,
Tab. minipress XL,
Inj. Wepox .
SOCIAL HISTORY:
Non alcoholic ,
Non smoker .

4. LAB INVESTIGATION:
W.B.C Count 16.80* 4.00 – 11.00*10^3u/l
differential count
Neutrophils 88 40 - 75%
lymphocytes11 30 - 50%(male)
20 – 40%(female)
monocytes 00 2 – 4%
eosinophils 01 2 – 6%
basophils 00 0 – 1%
Hb 8.8* 13.5 - 17g/dl(male)
12 – 15.5g/dl(female)
PCV 26 40 – 52%
RBC 2.8 4.60 – 6.00*10^6/UL
Platelet count 129* 150 - 400*10^3/ul

5. MCV 91 76 - 96FL
MCH 30 27 – 31
MCHC 32 3236g/dl
ESR 20 5 – 15mm(male)
5 – 20mm(female)
serum creatinine 134* 0.5 – 1.2mg/dl
blood urea 7.6* 10 – 50mg/dl
electrolytes:
sodium 136 136 - 145mmol/lit
potassium 4.8 3.5 – 5.1mmol/lit
chloride 105 95 - 111mmol/lit
Bicarbonate 24 21 - 28mmol/lit
CHEST X-RAY:
AP view bedside
Result: RIGHT PLEURAL EFFUSION

6. DIAGNOSIS:
ACUTE PULMONARY OEDEMA WITH ACCELERATED
HTN

7. MEDICATION CHART:
SERIA
L NO.
DRUGS DOSE ROUT
E
FREQU-
ENCY
1) INJ. AUGUMENTIN 1.2g IV BD
2) INJ.CIPROFLOXACIN 200mg IV OD
3) INJ.WEPOX 400U STAT
4) INJ.FERROJECT 5ml+100
ml NS
P/O OD
5) Tab. PANTOCID 40mg P/O OD
6) Tab. CALCIGARD
RETARD
20mg P/O TDS
7) Tab. BETALAC 50mg P/O BD
8) Tab. MINIPRESS XL 5mg P/O BD

8. THANK YOU