O slideshow foi denunciado.
Utilizamos seu perfil e dados de atividades no LinkedIn para personalizar e exibir anúncios mais relevantes. Altere suas preferências de anúncios quando desejar.
DR.Widad Al-Shukaili
Admitted  in Rustaq hospital for 1 day with Dx of pancreatitis ,amylase >2000 ,, discharge LAMA 58 yrs , F , 1 day h/o abd...
 
A patent B Spo2 96 %  C  HR 105,,BP 84/46 D GCS 15,reflo. 1.5 E 38C,dehydrated
 
KCO DM on insulin,HTN,IHD with EF 30 % , AF ( aspirin , digoxin , frusimide , simva. ,cavidelol) 6 D h/o constipation ,, f...
 
Dehydrated , not jaundice , not pale, JVP not raised , no pedal edema , no clubbing Chest ----- b/l equal air entry , no a...
 
 
CBC  HB 15,WBC 8.9,PLT 332 U/E  ur. 17 , cr 200 ,K+ 4.8 , Na 143 LFT AST 899 LDH 583 Lipid profile  WNL Coag. WNL  Lactate...
Chest XRAY ----- normal CT abdomen  ---verbal report : plain CT done as the pt with RF ,,,, acute pancreatitis with ascitis
58 yrs lady , KCO HTN,DM,AF,IHD on x 6 D h/o constipation followed by 1 D diarrhea,rt lumber pain after orange juice No fe...
 
Pt admitted under medical word at 6 AM ------ Acute pancreatitis Pt continue to be hypotensive and febrile  At 9 AM senior...
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
At 12 AM surgeon review the pt and decided to operate on her but family refused At 1 :30 pt arrested ---------------- clea...
TAKE HOME MESSAGES
Próximos SlideShares
Carregando em…5
×

Case Presentaion Dr Widad

Fen 23rd

  • Seja o primeiro a comentar

Case Presentaion Dr Widad

  1. 1. DR.Widad Al-Shukaili
  2. 2. Admitted in Rustaq hospital for 1 day with Dx of pancreatitis ,amylase >2000 ,, discharge LAMA 58 yrs , F , 1 day h/o abdo. Pain and loose motion At 01:00 AM
  3. 4. A patent B Spo2 96 % C HR 105,,BP 84/46 D GCS 15,reflo. 1.5 E 38C,dehydrated
  4. 6. KCO DM on insulin,HTN,IHD with EF 30 % , AF ( aspirin , digoxin , frusimide , simva. ,cavidelol) 6 D h/o constipation ,, followed by 1 D of diarrhea (?? Bloody ?? Mucus) after orange juice 1 D of colicky abdo. Pain mainly upper abdo. radiating to the back ,relieved by leaning forward 5 times vomiting (food particle) ,no heamatemesis Abdo. Distention ---  difficulty in breathing No h/o fever, no previous episode, no similar FH No genitourinary symptoms No chest complains or neuro.
  5. 8. Dehydrated , not jaundice , not pale, JVP not raised , no pedal edema , no clubbing Chest ----- b/l equal air entry , no added sound CVS------ s1s2 PA distended , gen. tenderness mainly upper abdo. , BS sluggish , hyperesonance PR no melena CNS intact
  6. 11. CBC HB 15,WBC 8.9,PLT 332 U/E ur. 17 , cr 200 ,K+ 4.8 , Na 143 LFT AST 899 LDH 583 Lipid profile WNL Coag. WNL Lactate 2.6 ABG heamolysed Amylase 2000 ( high)
  7. 12. Chest XRAY ----- normal CT abdomen ---verbal report : plain CT done as the pt with RF ,,,, acute pancreatitis with ascitis
  8. 13. 58 yrs lady , KCO HTN,DM,AF,IHD on x 6 D h/o constipation followed by 1 D diarrhea,rt lumber pain after orange juice No fever LAMA from Rust. Hosp. ,,,, amylase > 2000 O/e : dehydrated , hypotensive,hypoglycemic ,distended abdo. Inx : amylase 2000 , AST 899 , LDH 583 , lactate 2.6 with derange UE CT ------ acute pancrititis with ascitis
  9. 15. Pt admitted under medical word at 6 AM ------ Acute pancreatitis Pt continue to be hypotensive and febrile At 9 AM senior radiologist seen CT abdomen ?????? From 9 AM to 11 AM surgeon awaited final CT report At 11 AM the CT report finalized
  10. 45. At 12 AM surgeon review the pt and decided to operate on her but family refused At 1 :30 pt arrested ---------------- cleared dead
  11. 46. TAKE HOME MESSAGES

×