SHORT CASE( FINAL PRATICAL)
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A 43year old female patients came to causality with chief complaints of abdominal , vomiting and lower back since a day.
Patient was also diagnosed with hypothyroidism and diabetes mellitus in the past.
HISTORY OF PRESENT ILLNESS:
Patient was apparently well asymptomatic 6 years back and had developed Anasarca for which she was diagnosed in the hospital at Hyderabad with hypothyroidism .
Patient also complaints of pain in abdomen which is diffuse , dull aching and intermittet and associated with vomiting , 2 episodes which was non projectile and presence of food particles and non bilious.
No history of fever, cold, cough, loose stools, constipation, malena and haematuria.
For hypothyroidism takes tab. Thyronorm .
She was also diagnosed with renal failure for which she takes inj.mixtard.
PAST HISTORY:
It is known case of diabetes and hypothyroidism .
No history of hypertension, epilepsy and asthma.
PERSONAL HISTORY :
Diet : mixed
Appetite : decreasd since 6 yrs
Sleep : adequate
Bowel & bladder : regular
No addictions.
DRUG ALLERGY: not associated with any allergy of known drugs.
Post menopausal since 2 years
FAMILY HISTORY: no similar complaints.
GENERAL EXAMINATION:
Patient was coherent,cooperative, concious and well oriented to the place.
Patient is pallor.
No cyanosis icterus clubbing and generalised lymphadenopathy.
SYSTEMIC EXAMINATION:
Bacterial culture and sentivity:
Color Doppler 2D echo:
ECG :
PROVISIONAL DIAGNOSIS:
DKA secondary to pain in abdominal (pancreatitis) with DM-2, hypothyroidism, CKD , high anion gap metabolic acidosis.
TREATMENT:
Goji Berries... yes... I tried those too.For my health conditions, Those sweet, red berries seemed to help, but only during the time when I consumed them. I don't want to take a drug for the rest of my life, so why would I want to take a natural supplement everyday for the rest of my life (although Goji berries are very tasty and are highly nourishing). To me this was not a cure either (and I'm LOOKING for the CURE).
ReplyDeleteUp to that point, I hadn't found a cure. I felt like a young jumbled mess. I continued to have extreme pain, but continued on my path to healing. I started to focus on myself and not everyone else. When I was a young adult, I took on too much responsibility out of a sense of obligation. This was no longer healthy for me, so I resigned from all my projects and groups. Those days to come were the best [and worst] days. I took a lot of time off work, yet began to feel so extremely exhausted. Many health professionals "diagnosed" me with adrenal fatigue & Hiv,Prostate Cancer so my situation was annoying then I keep searching for permanent cure online that's when I came to know of Dr Itua herbal center hands whom god has blessed with ancestral herbs and a gift to heal people with diseaseSo I made a purchase of his herbal medicines and I have been watching my health for 6 years now and I actually confirmed that his herbal medicines are a permanent cure and I'm so happy that I came to know of his herbal healings.You can contact Dr Itua herbal center Email: drituaherbalcenter@gmail.com www.drituaherbalcenter.com if you went through exactly what I go through in terms of health conditions because to be honest there is more to learn about natural herbs than medical drugs.