55 yr old female with hypoglycemia
This is an E log book to discuss our patient's de-identified health data shared after taking his guardian's signed informed consent. Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable comments in comment box are most welcomed
I have been given this case to solve in an attempt to understand the topic of "Patient clinical data analysis" to develop my competency i reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan
A 55 yr old female came to the casualty with chief complaints of
1) loss of consciousness since 30 min associated with palpatation and sweating
HOPI
she was asymptomatic 30min back then she developed loss of consciousness associated with palpatation and sweating
She developed the same episode of loss of consciousness 12 days back that is due to some medication (beta blocker) but the present episode of loss of consciousness is not proceeded by medication
She is the known case of diabetes and hypertension since 2 years she was taking medication of diabetes.
O/E
At the time of admission patient was not consious coherent and cooperative
On admission 12 am vitals are
Bp 130/60
Pulse 57
RR 16
Temperature 98.8
Spo2 91%ra
Grbs 44
INVESTIGATIONS
DIAGNOSIS
HYPOGLYCEMIA UNDER EVALUATION 2' TO OHA.
TREATMENT
1) IV 25D 100 ml stat
2) NS 75ml / hr
3) inj octreotide 100mg sc stat
4) 25 D 50ml / hr
5) metformin 500mg po BD
