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NAME: KUMAR
AGE/SEX:25/M
WEIGHT:65
IPNO:19752
WARD/UNIT:MM/19
CHIEF COMPLAINTS
C/O passing concentrated urine for 15 days
C/O body weakness
C/O loss of appetite
C/O itch all over the body
C/O passing pale colour stools
HISTORY OF PRESENT
ILLNESS
C/O yellow coloured eyes and discharge of yellow
coloured urine.
PERSONAL HISTORY
The patient has smoking habituate for more
than 10 years.
PAST HISTORY
Not a k/c/o DM/PTB/HT/epilepsy
PARAMETERS OBSERVATION PARAMETERS
Blood pressure 120/80 mm/Hg 120/80 mm/Hg
Random blood
sugar
90 mg/dl 70- 11o mg/dl
S. Urea 35 mg/dl 15-40 mg/dl
S. sodium 140 mg/dl 135-145 mEq/l
S. potassium 4.8 mEq/l 3.5-5 mEq/l
S. creatinine 1.0 mg/dl 0.8-2 mg/dl
S. Bilirubin (total) 1.5 mg/dl 0.2-1 mg/dl
Direct bilirubin 0.8 mg/dl 0.2-0.4 mg/dl
Indirect bilirubin 0.7 mg/dl 0.2-0.6 mg/dl
SGOT 56 UI/I 5-45 UI/I
SGPT 53 UI/I 5-40 UI/I
OBSTRUCTIVE JAUNDICE
Inj. Cefotaxime 1gm IV BD
Inj. Ranitidine 1cc IV BD
Tab. prednisolone 5mg BD
Tab. Liv 52 BD
The subjective had a chief complaint of case of
passing concentrated urine for 15 days.
Yellow coloured eyes and discharge of yellow
coloured urine.
Smoking habituate for more than 10 years
OBJECT
PARAMETERS OBSERVATION PARAMETERS
Blood pressure 120/80 mm/Hg 120/80 mm/Hg
Random blood sugar 90 mg/dl 70-110 mg/dl
S. Urea 35 mg/dl 15-40 mg/dl
S. sodium 140 mg/dl 135-145 mEq/l
S. potassium 4.8 mEq/l 3.5-5 mEq/l
S. creatinine 1.0 mg/dl 0.8-2 mg/dl
S. Bilirubin (total) 1.5 mg/dl 0.2-1 mg/dl
Direct bilirubin 0.8 mg/dl 0.2-0.4 mg/dl
Indirect bilirubin 0.7 mg/dl 0.2-0.6 mg/dl
SGOT 56 UI/I 5-45 UI/I
SGPT 53 UI/I 5-40 UI/I
ASSESSMENT
OBSTRUCTIVE JAUNDICE
Inj. Cefotaxime 1gm IV BD
Inj. Ranitidine 1cc IV BD
Tab. prednisolone 5mg BD
Tab. Liv 52 BD
continue liv 52 for hepatoprotective
until the patient free from the liver toxins.
Continue prednisolone until the patient
may gets free from allergic condition.
Continue ranitidine because the patient
may taken the NSAID it cause Hcl
secretion so ranitidine may continued.
DRUG INTERACTIONS
• Corticosteroids are primarily metabolised by
liver and may have enhanced effects in patients
with liver disease. Dosage adjustments may be
necessary in these patients.
• Ranitidine is partially metabolized by the liver.
although dosage reductions are generally not
necessary, therapy with ranitidine should be
administered cautiously in patients with liver
disease.

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case study of jaundice

  • 2. CHIEF COMPLAINTS C/O passing concentrated urine for 15 days C/O body weakness C/O loss of appetite C/O itch all over the body C/O passing pale colour stools
  • 3. HISTORY OF PRESENT ILLNESS C/O yellow coloured eyes and discharge of yellow coloured urine.
  • 4. PERSONAL HISTORY The patient has smoking habituate for more than 10 years. PAST HISTORY Not a k/c/o DM/PTB/HT/epilepsy
  • 5. PARAMETERS OBSERVATION PARAMETERS Blood pressure 120/80 mm/Hg 120/80 mm/Hg Random blood sugar 90 mg/dl 70- 11o mg/dl S. Urea 35 mg/dl 15-40 mg/dl S. sodium 140 mg/dl 135-145 mEq/l S. potassium 4.8 mEq/l 3.5-5 mEq/l S. creatinine 1.0 mg/dl 0.8-2 mg/dl S. Bilirubin (total) 1.5 mg/dl 0.2-1 mg/dl Direct bilirubin 0.8 mg/dl 0.2-0.4 mg/dl Indirect bilirubin 0.7 mg/dl 0.2-0.6 mg/dl SGOT 56 UI/I 5-45 UI/I SGPT 53 UI/I 5-40 UI/I
  • 7. Inj. Cefotaxime 1gm IV BD Inj. Ranitidine 1cc IV BD Tab. prednisolone 5mg BD Tab. Liv 52 BD
  • 8.
  • 9. The subjective had a chief complaint of case of passing concentrated urine for 15 days. Yellow coloured eyes and discharge of yellow coloured urine. Smoking habituate for more than 10 years
  • 10. OBJECT PARAMETERS OBSERVATION PARAMETERS Blood pressure 120/80 mm/Hg 120/80 mm/Hg Random blood sugar 90 mg/dl 70-110 mg/dl S. Urea 35 mg/dl 15-40 mg/dl S. sodium 140 mg/dl 135-145 mEq/l S. potassium 4.8 mEq/l 3.5-5 mEq/l S. creatinine 1.0 mg/dl 0.8-2 mg/dl S. Bilirubin (total) 1.5 mg/dl 0.2-1 mg/dl Direct bilirubin 0.8 mg/dl 0.2-0.4 mg/dl Indirect bilirubin 0.7 mg/dl 0.2-0.6 mg/dl SGOT 56 UI/I 5-45 UI/I SGPT 53 UI/I 5-40 UI/I
  • 11. ASSESSMENT OBSTRUCTIVE JAUNDICE Inj. Cefotaxime 1gm IV BD Inj. Ranitidine 1cc IV BD Tab. prednisolone 5mg BD Tab. Liv 52 BD
  • 12. continue liv 52 for hepatoprotective until the patient free from the liver toxins. Continue prednisolone until the patient may gets free from allergic condition. Continue ranitidine because the patient may taken the NSAID it cause Hcl secretion so ranitidine may continued.
  • 13. DRUG INTERACTIONS • Corticosteroids are primarily metabolised by liver and may have enhanced effects in patients with liver disease. Dosage adjustments may be necessary in these patients. • Ranitidine is partially metabolized by the liver. although dosage reductions are generally not necessary, therapy with ranitidine should be administered cautiously in patients with liver disease.