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Prescription Writing
CASES
An episode of
Asthma
Acute severe
asthma
Essential
Hypertension
Status
epilepticus
Peptic Ulcer
Dysmenorrhea
Acute attack of
Migraine
Congestive
heart failure
Depression Parkinsonism
A 28 years old women c/o shortness of breath since last 6 hours during dusting at home during
Deepawali festival. She had a h/o of allergy with dust, smoke and pollens and also had a h/o of atopic
dermatitis. Chest X-ray is normal. On hematological examination, Hb<9.5mg/dl and eosinophilia and
raised ESR.
An episode of
Asthma
A 30 years old female named Priyanka Chopra known case of asthma and taking Salbutamol MDI for last 10 years.
One day, during Deepawali festival she dusted her home and burnt fire crackers in night and enjoyed that day very
well. But, in night 3 a.m. she suffered with persistent wheezing and dyspnoea. Her asthma has not been controlled
with adequate asthma treatment during that period. She was taken to hospital and admitted in ICU. Her chest x-ray
reveled left sided hilar opacity, CT releveals nodular lesion at same location. On hematological examination Hb<
7.5mg/dl and eosinophilia. She is not able to complete a single sentence.
Acute severe
asthma
A 40 years old man c/o occasional headache. His BP was found 146/98 mmHg and BMI>34.5. He
carries older prescription slip which indicate BP 160/102 mmHg one week back. Lipid profile, Thyroid
profile, RFT, LFT are with in normal limit as per older prescription.
Essential
Hypertension
A 16 years old girl p/w loss of consciousness in emergency. Her relatives gave a h/o of abnormal jerky
body movements and recurrent episode of seizure without regaining consciousness in between. She is
a known case of GTCS.
Status
Epilepticus
A45yearsoldmaleemployeeofITcompanyhavingregularandspicyfoodfromthe
canteenofcompanyforlast10years.Oneday,hepresentedinOPDofyourhospitalwith
c/oabdominalpain,bloating,dyspepsiaandweightloss.Thepainismoreaftertakingfood.
His14-Cureabreathtestwaspositive(CPM>200).Hewasadvicedforendoscopyandhis
endoscopyreportrevealedactiveHelicobacterpyloriinfection.
Peptic Ulcer
A20yearsoldfemalec/wheavybleedingwithseverepainwithabdominal
crampsduringhereverymenstrualperiod.
Dysmenorrhea
A25yearsoldgirlonweekendwithherfriendswenttocinemahallforwatching‘Avenger’movie.After3hr.of
movie,shecomplaintsofintensethrobbingheadachewithprojectilevomiting.
Acute attack of
Migraine
A 40 years old male consumedbeer with red meat in regular basis.
Now, he c/o severe pain, swelling, warmth and erythema in great toe. On blood examination,
Serum uric acid >125 mg/dl.
Acute Gouty
Arthritis
A40yearsoldobesemalehadah/ohypertesnsion,DM.Oneday,hecomplainedof fatigueon
exertion(NYHA2),dyspnea,weaknessandpedalodema(pittingtype).ECGfindingswas
normal.Apexbeatnormal.EchocardiographyshowedEF>55%.
Congestive
Heart Faliure
A23yearsoldmalestudenthadrecentbreakupwithhisgirlfriendonvalentine’sday.Heisfellinghopelessness,
tearfulness,emptiness, insomnia,leavingaloneinadarkplaceandlisteningsadsongsofmovielike‘ROCKSTAR’.
Depression
A65yearsoldmalec/odifficultytostandupfromchairandtakingfirststepforwalking.Onexamination,
neurologistfoundcog-wheelrigidityandalsonoticedpin-rollingtremor.Pulltestwaspositive.MRIscanshowed
lossofshallowtailsign.
Parkinsonism
A53yearsolddiabeticwomanhavingtroublewithdrivingaswellasdifficultyin
noticingsteps. Shehaslostsomeperipheralvision,yetnoth/otrauma,ocular
discomfort.Indirectophthalmoscopyshowedlargecuptodiscratio.
Chronic simple
Glaucoma
Thank you

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7_Prescription Writing_Case study.pptx