35 years old female with fits.
35 years old female presented with the complaints of fits. On lab examination her Serum sodium was 90 mmol/L and managed with giving 5% NaCl. So my question is, how much 5% NaCl is required to correct her serum sodium?
Category: Discussion
45 years old female
45 years old female presented in OPD with features of (shown in picture)What is she suffering from ,what is the definite test and and treatment of this condition ?
2 years old boy with viral fever
2 years old boy taken to hospital with the complaints of fever 38C since 3 days on examination and lab test viral fever is diagnosed. For above case, which drug should not be used and why? Acetaminophen, Antiviral, Aspirin, Cold sponging
Mar 27, 2010 | 4 comments | View Post
35 years old female with infertility
35 years old female visited her obstetrician/ gynecologist and complained that she was unable to get pregnant. Upon taking a medical history, the physician notes that the patient had regular 28-to-30 day cycles during the past year, during which time she had regular unprotected intercourse. She does not smoke and does not use caffeine, drugs, [...]
Mar 25, 2010 | 0 comments | View Post
Dizziness
A 35 years-old-man consulted his family physician because of some recent episodes of what he described as dizziness. He was concerned that this complaint might be related to a fall from a stepladder that had occurred the previous month, although his symptoms did not begin immediately after the incident. At the time of his visit [...]
Mar 20, 2010 | 0 comments | View Post
Stroke
67 years old man was taken to see his physician by his wife. For the preceding 2 days , the patients wife has noticed that he did not seem to make sense when he spoke. She also indicated that he seemed a little disoriented and din not respond appropriately to her question. He has no [...]
Mar 16, 2010 | 0 comments | View Post
55 years old female with abdomen pain .
55 years old female patient presented with the history of pain in right upper quadrant of abdomen for last 3 years. Patient has recurrent attacks of colicky pain in right upper quadrant of abdomen of last 3 years. Initially patient had colicky pain in right upper quadrant of abdomen but for 3 months patient is [...]
30 years male with left scrotum swelling
30 years male patient presented with a swelling in the left side of the scrotum for last 4 years. The selling started in the lower part of the scrotum and subsequently the swelling is slowly increasing in size and grown upto the root or the scrotum. The swelling disappears on lying sown position and reappears [...]
35 years old female with abdomen swelling …
35 year old female patient presented with a swelling in right side of upper abdomen for last 5 years which is gradually increasing in size for last 5 years. There is no history of rapid increase in size of the swelling. Patient complains of occasional dull aching pain over the right upper of abdomen for [...]
Feb 25, 2010 | 2 comments | View Post
40 years old alcoholic male with abdominal pain
40 years old alcoholic male presented at OPD, with the complaints of vomiting, Diarrhea, abdomen pain and abdominal fullness since 1 day, Physical examination shows normal finding. Routine stool test shows present of amoeba for that physician prescribed him metronidazole for 5 days but the very next day this patient returns at emergency room with [...]
Feb 23, 2010 | 2 comments | View Post
Case of endocrine
3 years old female child comes to ED with abdominal pain, nausea, vomiting and hypotension. She has severe weight loss since 1 year of duration.Previously she was diagnose as transient hypoparathyrodism. Her lab investigation shows Hb decreased ,cortisol <495nmol/L,Bp <110/70mmHg .Her thyroid function test –T3 & T4 increased TSH decreased & TPO and TMO is [...]
Atrial fibrillation
58 years old woman arrived in the emergency department complaining of sudden onset of palpations, lightheadedness, and shortness of breath. These symptoms began approximately 2 hours previously. On examination, her blood pressure is 95/70 mmHg, and heart rate is 140 beats /min .An ECG demonstrates atrial fibrillation. The physical examination is otherwise unremarkable. Explain why [...]
Feb 19, 2010 | 0 comments | View Post
57 Years old man with left chest pain
57 year old man experienced several months of vague pains in his left chest and shoulder when climbing stair. During a touch football game at a family gathering, he had much more intense pain and had to rest. After 45 minutes of intermittent pain, his family brought him to a emergency department. His heart rate [...]
