On Stroke(CVA) with left middle CVA presentation
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1) A 59-year-old male patient presented with right-sided weakness, inability to speak for two days, and a history of hypertension, smoking, alcohol use, and left arm amputation. 2) On examination, the patient was conscious with elevated blood pressure and reduced tone and power on the right side. 3) Laboratory tests showed mildly low hemoglobin and elevated alkaline phosphatase. A diagnosis of cerebrovascular accident involving the left middle cerebral artery was made based on history and examination.
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mortalitymeetpresentation.pptx
A 75-year-old female was brought to the hospital semiconscious after a motor vehicle accident. She had a history of diabetes, hypertension, and heart disease. Exams found injuries to her right elbow and left shoulder along with decreased consciousness. Despite treatment including ventilation and fluids, her condition deteriorated over days with low blood pressure. She went into cardiac arrest and efforts to resuscitate were unsuccessful. The cause of death was determined to be cardiogenic shock due to injuries from the motor vehicle accident.
Case presentation on chronic alcohlic with cld with phtn
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Mortality Meet Presentation by Dr. Saumya Agarwal
Mortality Meet Presentation by Dr. Saumya Agarwal Central Institute of Orthopaedics, Safdarjang Hospital and VMMC, New Delhi
This document summarizes a patient mortality meeting discussing a 45-year-old female patient who was admitted unconscious following a road traffic accident. She sustained injuries including a laceration on her right thigh and eye, as well as an intertrochanteric fracture of the right femur. The summary outlines her hospital course, management including surgery, complications including infections, and eventual discharge on day 26 after addressing cerebral salt wasting.Mortality meet presentation 9 nov 2016
Mortality meet presentation 9 nov 2016Central Institute of Orthopaedics, Safdarjang Hospital and VMMC, New Delhi
Dr. Saumya Agarwal presented a case of a 75-year-old female who was brought to the hospital semiconscious after a motor vehicle accident. She had a past medical history of diabetes, hypertension, and heart disease. Despite treatment for her injuries including a fracture of the right elbow and left shoulder, her condition deteriorated and she went into cardiac arrest. Resuscitation efforts were unsuccessful and she was declared dead due to cardiogenic shock resulting from her injuries sustained in the accident.Effusions Explored
A 65-year-old female presented with breathlessness, swelling of the face and legs, and decreased urine output. Examination revealed elevated jugular venous pressure, bilateral pitting edema, and crepitations in both lung bases. Investigations showed hypothyroidism. She was diagnosed with heart failure due to acute left ventricular failure and hypothyroidism. Thyroxine replacement therapy and diuretics were started, and her symptoms improved.
Effusions Explored
The patient presented with breathlessness and swelling of the face and legs. Examination revealed elevated jugular venous pressure, bilateral pitting edema, and crepitations in both lung bases. Investigations showed cardiomegaly, bilateral pleural effusion, and hypothyroidism. The patient was diagnosed with heart failure, acute left ventricular failure, and hypothyroidism and started on diuretics, antihypertensives, and thyroxine replacement.
pe.pptx
This case presentation describes a 49-year-old female patient who presented with a 3-year history of flank pain associated with dysuria and hematuria. Imaging and lab results showed poorly functioning left kidney secondary to xanthogranulomatous pyelonephritis, and obstructive uropathy of the right kidney due to pelviolithiasis. The patient was diagnosed with xanthogranulomatous pyelonephritis of the left kidney, pelviolithiasis of the right kidney, and diabetes mellitus type 2. She was admitted and managed conservatively with IV fluids and pain medication. The treatment plan includes a left nephrectomy, left flank exploration, cystoscopy, and right
Case Presentation on Diabetes Mellitus complications
This case study on Diabetes Complications presented by Shivank Agrawal (Doctor of Pharmacy ) will help understand about the critical insights regarding treatment of Diabetes, its complications and its management.
Title: Case Study: Management of Diabetic Cellulitis
Introduction:
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia, leading to various complications including skin infections such as cellulitis. Cellulitis is a bacterial infection affecting the skin and underlying tissues, often exacerbated in diabetic patients due to impaired immune function and compromised blood circulation. This case study focuses on the management of diabetic cellulitis in a patient presenting with typical symptoms.
Treatment Plan:
Antibiotic Therapy: Initiation of empiric antibiotic therapy with oral cephalexin to cover common pathogens such as Staphylococcus aureus and Streptococcus species. The choice of antibiotics was based on local antibiogram data and the patient's clinical response.
Glycemic Control: Optimization of blood glucose levels through insulin therapy to enhance immune function and promote wound healing. Regular monitoring of blood glucose levels was implemented to adjust insulin doses accordingly.
Wound Care: Daily wound cleansing with saline followed by application of topical antimicrobial agents and sterile dressings to prevent secondary infection and promote granulation tissue formation.
Patient Education: Comprehensive education regarding diabetic foot care, including the importance of daily foot inspections, proper footwear, and prompt management of any foot injuries to prevent future complications.
Conclusion:
This case highlights the importance of prompt diagnosis and appropriate management of diabetic cellulitis to prevent complications and improve patient outcomes. A collaborative approach involving pharmacists, physicians, and other healthcare professionals is essential for the comprehensive care of diabetic patients with skin infections. Emphasis on glycemic control and wound care plays a crucial role in preventing recurrent infections and promoting overall health in diabetic individuals.
Role of Clinical Pharmacist in Management of Diabetes Complications.
Pharmacists play a crucial role in the management of diabetes cellulitis, contributing significantly to patient care through their expertise in medication therapy management, patient education, and collaborative healthcare. Their involvement spans various aspects of the management process:
Medication Management:
Antibiotic Selection: Pharmacists assist in choosing appropriate antibiotics based on the patient's clinical presentation, comorbidities, and potential drug interactions.
Dosing and Administration: They ensure proper dosing regimens, considering factors such as renal function and drug allergies, to optimize therapeutic efficacy and minimize adverse effects.
Monitoring: Pharmacists monitor the patient's response to antibiotic therapy, inc
Case 2: Pulmonary Thromboembolism
1. A 35-year-old man presented with acute onset of breathlessness and was found to have pulmonary thromboembolism and deficiencies in protein C and protein S without evidence of deep vein thrombosis.
2. He was treated with supportive measures, heparin, acenocoumarol, and supplements but developed massive hemoptysis and succumbed to his illness despite intensive care.
3. The case report discusses evaluation, treatment, and long-term management of venous thromboembolism and highlights complications that can arise.
Case presentation on CVA.pptx
This document presents a case study on acute cerebrovascular accident (CVA). The patient, a 71-year-old male, presented with right-sided weakness and involuntary hand tremors. Medical history revealed prior heart disease and cardiogenic stroke. Examinations found neurological deficits and imaging showed recent and chronic brain infarcts. The diagnosis was acute CVA and seizure disorder. Treatment included medications to prevent seizures, dissolve clots, lower cholesterol and blood pressure. The goals of therapy were to restore brain blood flow, reduce symptoms, prevent complications and improve quality of life.
A Case of POEMS Syndrome
The patient is a 40-year-old female who presented with breathlessness, fatigue, arthralgia, weight loss, and swelling in the legs. Investigations revealed hypothyroidism, pulmonary hypertension, anemia, and signs of autoimmune disease. Over time she developed additional symptoms affecting multiple organs. Based on her symptoms and test results, she was diagnosed with POEMS syndrome, a rare paraneoplastic condition characterized by polyneuropathy, organomegaly, endocrinopathy, monoclonal plasma proliferation, and skin changes. She was treated with steroids, thyroid medication, diuretics, and pain medications.
Magdy
A 12-year old female presented with pallor, fatigue, and persistent vomiting for 3 weeks. Examination found mild edema and investigations showed microcytic anemia, thrombocytopenia, renal impairment, and urine with protein and red blood cells. Ultrasound found echogenic kidneys with poor corticomedullary differentiation. She received two hemodialysis sessions and was referred for further tests and renal biopsy to evaluate the cause of her kidney impairment and anemia.
Thrombus everywhere
This patient is a 23-year-old female who presented with generalized swelling and abdominal pain for 8 months. Her symptoms started 2 years ago with abdominal pain and obstruction, for which she was diagnosed with FMF and treated with colchicine. Over time she developed edema, ascites, hepatomegaly and thrombocytopenia. She was diagnosed with lupus based on positive ANA and anti-DNA antibodies, but subsequent tests for these were negative. Workup revealed hepatic vein and IVC thrombosis consistent with Budd-Chiari syndrome. Testing found protein C deficiency and lupus anticoagulant consistent with antiphospholipid antibody syndrome. She was started on anticoagulation, diure
Hyperthyroidism_case_scenerio.pptx
An 11-year-old female presented with symptoms of hyperthyroidism including weight loss and heat intolerance. Thyroid function tests confirmed Graves' disease. She was initially started on methimazole but developed an adverse reaction, so underwent radioactive iodine ablation of her thyroid. At follow-up two weeks later, her thyroid function tests remained abnormal, indicating ongoing hyperthyroidism despite treatment.
A Case of Pure Red Cell Aplasia
The document describes a case of a 42-year-old man presenting with breathlessness and anemia who was diagnosed with a mediastinal mass (thymoma) and pure red cell aplasia (PRCA) based on bone marrow findings. He underwent thymectomy and was treated with steroids for his PRCA. PRCA is a rare cause of normocytic normochromic anemia characterized by absence of erythroblasts in the bone marrow that can be associated with thymoma and treated with steroids, IVIG, or surgery.
Cva case stroke
Stroke is the 2nd leading death associated disorder. It is also known as cerebrovascular disorder mainly caused by high blood cholesterol levels or rupture of cerebral arteries.
Quadriparesis guillain barre syndrome ppt
Case presentation on Quadriparesis with Guillain barre syndrome
Quadriparesis is a condition characterized by weakness in all four limbs (both arms and both legs).
The weakness may be temporary or permanent.
Quadriparesis is different from quadriplegia.
In quadriparesis, a person still has some ability to move and feel their limbs.
In quadriplegia, a person has completely lost the ability to move their limbs.
Cerebro-Vascular Accident (CVA)
A 66-year-old male presented with right facial branchial palsy for 3 hours. He had a history of hypertension. Diagnostic tests found abnormal ECG and MRI results suggestive of ischemia but no acute infarct. He was assessed to have had an acute CVA likely due to hypertension and past smoking. His treatment plan included anticoagulants, antihypertensives, statins, and antioxidants to prevent complications like edema, seizures, and cardiac issues.
Mortality Meet Presentation 2 by Dr. Saumya Agarwal
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A 48-year-old male farmer presented with pain and swelling in his right thigh for 10 days following a fall. Examination found restricted and painful right hip and knee movement. Investigations revealed anemia and elevated ESR. He was admitted for right femur fracture and developed respiratory distress. His condition deteriorated and he suffered cardiopulmonary arrest. Resuscitation attempts failed and he was declared dead from a suspected pulmonary thromboembolism complicating his injuries, diabetes and hypertension.CKD AND HHD DUTY REPORT DEPARTMENT OF INTERNAL MEDICINE RSAPAD GATOT SEOBROTO...
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On Stroke(CVA) with left middle CVA presentation
- 1. CASE PRESENTATION On Stroke(CVA) with left middle CVA PRESENTED BY RAJENDRA KUMAR PHARM D 2 YEAR ISF COLLEGE OF PHARMACY DEPARTMENT OF PHARMACY PRACTICE ISF College of Pharmacy, Moga Ghal Kalann, GT Road, Moga- 142001, Punjab, INDIA
- 2. Patient details NAME: xyz AGE : 59 years SEX: male BLOOD GROUP :B+ve 2
- 3. Subjective evidence 3 • CHIEF COMPLAINTS : Right sided weakness(right arm and right leg from last, inability to speak from last two days. • BRIEF HISTORY: h/o fall following which patient got head injury, to left arm following which amputation of left arm is done due to gangrene. • PAST MEDICAL HISTORY : Hypertension is there but no medication, no h/o DM, Epilepsy, TB, no similar complaints in past. • FAMILY HISTORY: No similar family history. • ALLERGIES : Nil. • PERSONAL HISTORY: Smoker , Chronic alcoholic, Non vegetarian
- 4. 4Objective evidence • GENERAL conscious, calm BP:- 150/100 mm Hg Respiratory system:- Normal VBS, R.R: 16/min CVS:- s1 s2 normal no murmur CNS:- Tone and power reduced
- 5. Lab Investigations 5 Tests Observed Normal HB 11.4 mg/dl 14-18 mg/dl PLT 3.29 lakh/cumm 1.5-4.0 lakh/cumm Creatinine level 0.4 mg/dl 0.8-1.3mg/dl UREA level 19 mg/dl 15-45 mg/dl Total Bilirubin count 0.4 mg/dl 0.3-1.1 mg/dl Alkaline Phosphatase level 293 IU/L 60-150 IU/L SODIUM 136 mEq/L 135-155 mEq/L POTASSIUM 4.2 mEq/L 3.5-5.5 mEq/L CHLORIDE 100 mEq/L 98-107 mEq/L RBS(random blood sugar) 154 mEq/L 70.0-140.0 mg/dl
- 6. ASSESMENT: On the basis of Subjective and objective evidences,patient has been diagnosed with cerebrovascular accident with left MCA A chest x-ray also done to identify Pulmonary or cardiac pathology 6
- 7. TREATMENT CHART : DRUG GENERIC NAME DOSE ROUTE FREQUENCY Inj. Augmentin Amoxycillin(1000mg+clavula nic acid 200mg) 1.2gm iv TDS Tab. Dalacin clindamycin 600mg RT feed BD Inj. Ocid omeprazole 40mg iv OD Tab. Ecosprin AV Asprin(75mg)+atorvast- atin(20mg) 75/20mg oral HS Tab. Librium chlordiazepoxide 10mg oral TDS Tab. Telma Amlodipine(5mg)+telmisartan (40mg) 5/40mg oral OD Tab. Levipil levetiracetam 500mg oral BD 7
- 8. PHARMACIST INTERVENTIONS: No medication is given to control blood sugar level of the patient Assesment is done only on the basis of subjective and objective evidences ,there is no CT scan of head ,MRI ,has been done EEG must be done before prescribing levipil(anticonvulsant) 8
- 9. PATIENT COUNSELLING: Patient is adviced to avoid smoking and alcohol intake as these habbits can cause pulmonary and cardiac and other complications. Patient must try to maintain a normal blood pressure by minimising salt intake. Try to stay away from stressful conditions. Take the medication as per prescription. 9
- 10. THANK YOU