Friday, December 3, 2021

50 year old female with pain abdomen

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50 year old female with pain abdomen a/w SOB Since 3 days and constipation since 2 days.
A 50 year old female patient came on 30/11/21 with c/o pain abdomen since 3 days a/w sob, constipation since 2 days.
H/o pain abdomen 2 months back
Hopi:
Patient was apparently asymptomatic 3 days back then she developed pain abdomen in right hypochondrium a/w sob grade 2 and 3
H/o nausea and vomiting 4 episodes 3 days back, no palpitations
History of past illness:
N/k/c/o htn/dm
H/o renal caliculi since 2 years managed conservatively.

Examination:
Patient was c/c/c
Temperature: afebrile
PR- 68/min
RR-26min
BP-130/70mmhg 
CVS:s1s2+
R.S:bae +
P/A: Soft, non tender,bs+

Probable diagnosis:
Constipation secondary to Paralytic ileus.

Treatment:
1.IVF- 45% NS @ 75ml/hr
2.Syp. DUPHALAC 10 ml PO BD
3.Tab. BUSCOPAN PO SOS
4.Tab. PAN 40 mg PO OD
5.Soap water enema
6.Monitor vitals 
7.Inform SOS