Case study of uti
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1. The document discusses urinary tract infections (UTIs), which can infect the kidneys, ureters, bladder, or urethra. Women are at higher risk than men. 2. A case study is presented of a 57-year-old female patient with recurrent UTIs, lower abdominal pain, back pain, and blood in her urine. Her diagnosis is recurrent UTI. 3. The patient's prescription includes Loprin, Xobix, Zuprical, Utrin, and Caricef. The prescription is analyzed for correctness and potential drug interactions between the medications are discussed.
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Urinary Tract Infection
This document describes a case study of a 26-year-old female patient admitted to the hospital with complaints of abdominal pain, vomiting, burning urination, fever, and cough. Physical examination found the patient to be febrile. Laboratory tests confirmed a urinary tract infection. The patient was diagnosed with a UTI and gastroesophageal reflux disease. She was treated intravenously with antibiotics and antacids over 4 days, with counseling on preventing future UTIs.
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Vineeth Vidhyasagar presented a case of a 50-year-old male patient admitted with complaints of abdominal pain and vomiting. The patient had a history of alcohol use and was diagnosed with acute pancreatitis based on his symptoms and laboratory results. He underwent an appendectomy and was treated with IV fluids, antibiotics, pantoprazole, octreotide, ondansetron, and tramadol. His condition improved and he was discharged with medications including escitalopram, methylcobalamin, and pantoprazole. During his hospital stay, an interaction between octreotide and ondansetron was identified and the intervention was accepted.
Presentation 21 appendicitis
Zhen fda, a 43-year-old male, was admitted to the hospital with a diagnosis of appendicitis. He has 4 children and lives with his brother. He works as a driver and has no known allergies or family history of illness. He is experiencing abdominal pain, fatigue, and anxiety about his condition and upcoming surgery. The nursing assessment found pale skin, abdominal tenderness, and normal vital signs. He is prescribed medications including antibiotics and antacids to treat his appendicitis and reduce anxiety prior to his planned appendectomy.
SOAP NOTE SAMPLE FORMAT FOR MRCName LPDateTime 1315.docx
SOAP NOTE SAMPLE FORMAT FOR MRC
Name: LP
Date:
Time: 1315
Age: 30
Sex: F
SUBJECTIVE
CC:
“I am having vaginal itching and pain in my lower abdomen.”
HPI:
Pt is a 30y/o AA female, who is a new patient that has recently moved to Miami. She seeks treatment today after unsuccessful self-treatment of vaginal itching, burning upon urination, and lower abdominal pain. She is concerned for the presence of a vaginal or bladder infection, or an STD. Pt denies fever. She reports the itching and burning with urination has been present for 3 weeks, and the abdominal pain has been intermittent since months ago. Pt has tried OTC products for the itching, including Monistat and Vagisil. She denies any other urinary symptoms, including urgency or frequency. She describes the abdominal pain as either sharp or dull. The pain level goes as high as 8 out of 10 at times. 200mg of PO Advil PRN reduces the pain to a 7/10. Pt denies any aggravating factors for the pain. Pt reports that she did start her menstrual cycle this morning, but denies any other discharge other that light bleeding beginning today. Pt denies douching or the use of any vaginal irritants. She reports that she is in a stable sexual relationship, and denies any new sexual partners in the last 90 days. She denies any recent or historic known exposure to STDs. She reports the use of condoms with every coital experience, as well as this being her only form of contraceptive. She reports normal monthly menstrual cycles that last 3-4 days. She reports dysmenorrhea, which she also takes Advil for. She reports her last PAP smear was in 7/2016, was normal, and reports never having an abnormal PAP smear result. Pt denies any hx of pregnancies. Other medical hx includes GERD. She reports that she has an Rx for Protonix, but she does not take it every day. Her family hx includes the presence of DM and HTN.
Current Medications:
Protonix 40mg PO Daily for GERD
MTV OTC PO Daily
Advil 200mg OTC PO PRN for pain
PMHx:
Allergies:
NKA & NKDA
Medication Intolerances:
Denies
Chronic Illnesses/Major traumas
GERD
Hospitalizations/Surgeries
Denies
Family History
Father- DM & HTN; Mother- HTN; Older sister- DM & HTN; Maternal and paternal grandparents without known medical issues; 1 brother and 3 other sisters without known medical issues; No children.
Social History
Lives alone. Currently in a stable sexual relationship with one man. Works for DEFACS. Reports occasional alcohol use, but denies tobacco or illicit drug use.
ROS
General
Denies weight change, fatigue, fever, night sweats
Cardiovascular
Denies chest pain and edema. Reports rare palpitations that are relieved by drinking water
Skin
Denies any wounds, rashes, bruising, bleeding or skin discolorations, any changes in lesions
Respiratory
Denies cough. Reports dyspnea that accompanies the rare palpitations and is also relieved by drinking water
Eyes
Denies corrective lenses, blurring, visual changes of an.
Case Presentation: decompensated liver disease secondary to alcohol with coag...
Dr. Afreen Nasir, PharmD
Pharmacotherapeutics 3
PYOMETRA
Mrs. X, age 60, was admitted to the hospital with abdominal pain, distension, and fever. She was diagnosed with pyometra based on her symptoms and ultrasound findings of an infected uterus. She underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy. Her treatment included antibiotics, analgesics, and antacids. She was counselled on her diet and medications upon discharge and prescribed a course of antibiotics to complete at home.
8. a case study on typhoid fever
A 28 year old male patient was admitted to the male medicine ward with complaints of fever since 1 week, bodyache, headache, slightly yellowish sclera and watery eyes.
Sector Of Gastroenterological Disorder
This document discusses the case of a 49-year-old male presenting with severe abdominal pain. Diagnostic testing showed a distended gallbladder and elevated markers suggestive of intra-abdominal infection. The patient was given morphine for pain relief and ondansetron for nausea. He was discharged on a week-long course of ciprofloxacin and metronidazole antibiotics and instructed to follow up with his doctor. Pharmacologic management of abdominal pain focuses on analgesia, symptomatic relief, and empiric antibiotics if infection is suspected. Landmark trials have supported the use of IV morphine for early pain relief in acute abdominal pain.
Case presentation on intestinal tuberculosis
1. A 35-year-old male presented with abdominal pain, nausea, vomiting and loose stools. Laboratory tests revealed anemia and low serum albumin. CT scan showed ileocolic intussusception and hepatomegaly. Colonoscopy found colonic ulcers with narrowing, consistent with intestinal tuberculosis.
2. He was treated with antibiotics, pantoprazole for acid reflux, tramadol and piroxicam for pain, ondansetron for vomiting, and a four-drug antitubercular regimen. Counselling addressed medication adherence, a healthy diet and lifestyle, and completing treatment.
3. Intestinal tuberculosis commonly involves the ileocecal region and presents
Uti with renal caliculi with type2 dm
The patient, P. Adilaxmi, a 35-year-old female, was diagnosed with a urinary tract infection and renal calculi complicated by type 2 diabetes. She presented with low backache, swelling of the lower limbs and face, and was on antidiabetic medication. Laboratory tests and ultrasound confirmed the diagnosis and showed renal abnormalities. She was treated with antibiotics, analgesics, and antidiabetic drugs, and her symptoms improved over time, allowing her discharge after 8 days.
Antibiotic flowsheet (final)
This document contains guidelines for reviewing antibiotic treatment, including indications for use, culture results, and considerations for narrowing or switching to oral antibiotics. It includes sections on empiric antibiotic recommendations for urinary tract infections, pneumonia, and skin and soft tissue infections. For each type of infection, it lists preferred antibiotic therapies and alternatives for beta-lactam allergies, as well as recommended treatment durations.
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SOAP NOTE SAMPLE FORMAT FOR MRCName LPDateTime 1315.docx
SOAP NOTE SAMPLE FORMAT FOR MRCName LPDateTime 1315.docx
Case Presentation: decompensated liver disease secondary to alcohol with coag...
Case Presentation: decompensated liver disease secondary to alcohol with coag...
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Case study of uti
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- 2. ClinicalPharmacy Semester 10th 2 Student Name: Amina Tariq Date: 4/26/2021 Patient Demographics: Name: XYZ Age: 57 Gender: F Ht/Wt: 72 Chief Complaint: Pain and burning in urination Lower abdominal pain Back pain Blood in urine Past Medical History: DM + HTN+ UTI + Diagnosis: Recurrent UTI VITAL SIGNS SIGNS 1 2 Comment BP 130/90 mm Slightly raised Temp 97 F afibrile RR 20 Normal PR 73 Normal RIPHAH INTERNATIONAL UNIVERSITY Riphah Institute of Pharmaceutical Sciences PHARMACOTHERAPY REVIEW (Patient Case)
- 3. ClinicalPharmacy Semester 10th 3 LAB TEST INTERPRETATION urinanalysis Lab Tests value Normal range INTERPRETATION RBC 4-6 0-3 hematuria Hb trace negative hemoglobinuria HCT Platelet WBCS 75-20 0-5 infection Urea Na K+ Ca Creatinine GFR Bilirubin negative negative normal ALP ALT C/S protein negative Normal (kidney issue) glucose negative normal Rx Loprin 75mg OD Xobix 7.5mg BD Zuprical OD Utrin 2tbsp BD Caricef 400mg OD
- 4. ClinicalPharmacy Manual Semester 9th PRESCRIPTION ANALYSIS FORM Dr. Name XYZ Specialization urologist Patient Name XYZ Age 57 Weight 72 kg Diagnosis Recurrent UTI Other Details (If any) Hypertension+ diabetes+ UTI+ SuggestedCorrections in Prescription (Missing Name, Age, Wrong strength, dose, frequency, etc..) -Multivitamin (only for 10 days whereas most packs contain 30 tablets) -Loprin (should not be given as BP is normal) -No signature and standup is present R IP HAH IN T E R NATIONA L UN IVE R S ITY Riphah Institute of Pharmaceutical Sciences
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- 6. ClinicalPharmacy Manual Semester 9th DRUG INTERACTIONS ANALYSIS FORM Software Drug Interactions Effects Medscape Aspirin+meloxicam (monitor closely) Both increase anticoagulation Cefixime + Aspirin (minor) Cefixime will increase level of aspirin Cefixime + meloxicam (minor) Cifixime will increase level of meloxicam