PRESENTATION - KASTHURI1.pptx
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This document describes the medical history and examination of a 67-year-old female patient. She has a long history of type 2 diabetes, hypertension, polyarthritis, and functional psychosis. Recently she has experienced decreased appetite, vomiting, weakness, and irrelevant speech. Her diabetes was initially diagnosed in 1997. She has a family history of diabetes. Examinations show her blood sugar levels are well-controlled with metformin. The diagnosis is steroid withdrawal and hypocortisolism, with a possibility her diabetes was induced by previous steroid use. Treatment includes deflazacort to restore cortisol levels and continued metformin.
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- Provide supportive care including IV fluids, oxygen supplementation if needed, antipyretics and physiotherapy.
- Once pneumonia is treated and symptoms improve, discharge the patient with oral antibiotics like cotrimoxazole for a total course of 10-14 days.
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- Provide supportive care including IV fluids, oxygen supplementation if needed, antipyretics and physiotherapy.
- Once pneumonia is treated and symptoms improve, continue oral antibiotics like cotrimoxazole for a total of 10-14 days.
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LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
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significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
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Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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- 2. DISCUSSION • NAME : KASTHURI • AGE : 67 • SEX : FEMALE • THIN BUILT • KNOWN CASE OF T2DM / SHT / POLYARTHRITIS / FUNCTIONAL PSYCHOSIS • ON REGULAR TREATMENT FOR DM FOR THE PAST 15 YEARS • VEGETARIAN , NOT A SMOKER, ALCOHOLIC, TOBACCO CHEWER
- 3. COMPLAINTS • DECREASED INTAKE OF FOOD • VOMITING ON AND OFF FOR ONE • GENERALISED WEAKNESS MONTH • IRRELEVENT TALKS ON AND OFF • H/O WITHDRAWAL OF ALL DRUGS FOR MORE THAN ONE MONTH
- 4. HISTORY • SHE DIAGNOSED AS T2DM IN 1997 WHILE SHE WENT FOR AN EYE CHECK UP. • HER PARENTS DETAILS ABOUT DM IS NA • HER HUSBAND IS DIABETIC • HAVING TWO SONS AND THREE DAUGHTERS. IN THAT, EXCEPT ONE LAST SON, ALL ARE DIABETIC • SHE UNDERWENT CATERACT SURGERY BEFORE 4 YRS FOR ONE EYE AND 1YR FOR ANOTHER EYE. • VERY REGULAR Pt.
- 5. OLD RECORDS DATE FBS PPBS 15.11.08 140 221 0912.08 110 242 09.01.09 144 176 19.01.09 284 378 19.02.09 186 320 20.03.09 134 169 21.04.09 112 221 21.05.09 134 241 20.06.09 132 160 22.10.09 142 248 08.06.10` 212 282 09.12.10 164 217 24.05.11 160 253 09.08.11 136 180 05.09.11 166 285 13.01.12 220 301 08.05.12 235 342 13.08.12 161 252
- 6. OLD RECORDS
- 7. OLD RECORDS
- 8. OLD RECORDS
- 9. OLD RECORDS
- 10. UNDERWENT RX
- 11. UNDERWENT RX
- 14. • USG ABDOMEN
- 15. PLAN • MASTER HEALTH CHECKUP OF BLOOD AND URINE
- 16. REPORTS
- 19. REPEAT FBS, PPBS, HbA1C • FBS : 99mg/dl • PPBS : 146mg/dl • HbA1C : 6.3 % • FROM A DIFFERENT STANDARDISED LAB
- 20. STILL MORE OLD RECORDS • RECORDS FROM 97 TO 06 - MISSING
- 22. • SERUM CORTISOL
- 23. DIAGNOSIS • STEROID WITHDRAWAL • HYPOCORTISOLISM • ?DRUG INDUCED DM • GERD • OA R KNEE
- 24. Rx GIVEN • T.DEFLAZACORT 6mg • 0-0-1 = 1 MONTH • 0-0-½ = 1 MONTH • ½ ONCE IN 2 DAYS= 1 MONTH • T.METFORMIN 500mg • 1-0-0 • PPIs • VIT D3 • ALA+BT+MC • T.LIBRIUM 10mg • 0-0-1(SOS)
- 25. REPORT
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