Hypoglycemia
47Y/M driver by occupation, resident of lingotam came to casualty on 18/6/23 with chief complaints of;
Loss of consciousness since early morning 5am;
Burning micturition since 3 days;
History of presenting illness:
Patient was apparently asymptomatic 4 days back when he became unconscious and was brought to casualty (Grbs 35mg/dl) and was treated for hypoglycemia and he became responsive.
C/o of burning micturition since 3 days.
- Appetite - Decreased since hospitilization
- Burning Micturation is present for the past 3 days
- Normal bowel and bladder movements
- Sleep - adequate
- Diet - Non-Veg & Mixed (Veg) sometimes
- Chronic smoker since 20 years
- No allergies.
Pallor- present
Icterus-absent
Cyanosis-absent
Clubbing-absent
Lymphadenopathy-absent
Edema -absent
Temperature-100.0'f
Pulse rate -82bpm.
Bp-120/60mm hg
RR-18cpm
Spo2-99% .
Grbs-184/mmHg
ABDOMEN EXAMINATION
Soft non tender
Pallor is present
Cvs system:
S1 and S2 sounds are heard.
No murmurs.
Respiratory system:
BAE present.
NVBS heard.
Provisional diagnosis:
Hypoglycemai secondary to oral hypoglycemic agents with k/c/o DM-2 since 10 years with ?diabetic nephropathy and associated anemia.
Treatment:
Iv fluids NS @ 100ml/hr strict I/o charting
- stop oral hypoglycemic agents until further orders.
- inj. Neomol 1gm/iv/sos ( if temp>= 101F)
- inj. Zofer 4mg / iv/ sos
- inj. metrogyl 500mg /iv/ tid
- Tab sporolac 2 tabs po/tid
- Tab. baclofen 10mg /po/bd
- Tab dolo 650 mg PO/sos
- ors solution 200ml after every stool
-GRBS 7. Profile monitoring
-Vitals monitoring 2nd Hourly.
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