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  • Case 2

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    Tejesh Chaudhari
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    This patient profile form provides information about a 67-year-old male admitted to the hospital on February 15th with complaints of unconsciousness and snoring. His medical history includes hypertension for the past 6 months. A physical examination found his blood pressure elevated and he was unconscious. The provisional diagnosis was diabetes mellitus and hypertension. Routine tests were done along with urinalysis. The final diagnosis was diabetes mellitus and hypertension, and he was prescribed various medications including nitrofurantoin, lorazepan, glimipride, chlorothalidone, and bisoprolol fumarate.

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    case 2

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    This patient profile form provides information about a 67-year-old male admitted to the hospital on February 15th with complaints of unconsciousness and snoring. His medical history includes hypertension for the past 6 months. A physical examination found his blood pressure elevated and he was unconscious. The provisional diagnosis was diabetes mellitus and hypertension. Routine tests were done along with urinalysis. The final diagnosis was diabetes mellitus and hypertension, and he was prescribed various medications including nitrofurantoin, lorazepan, glimipride, chlorothalidone, and bisoprolol fumarate.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    9 views2 pages

    Case 2

    Uploaded by

    Tejesh Chaudhari
    This patient profile form provides information about a 67-year-old male admitted to the hospital on February 15th with complaints of unconsciousness and snoring. His medical history includes hypertension for the past 6 months. A physical examination found his blood pressure elevated and he was unconscious. The provisional diagnosis was diabetes mellitus and hypertension. Routine tests were done along with urinalysis. The final diagnosis was diabetes mellitus and hypertension, and he was prescribed various medications including nitrofurantoin, lorazepan, glimipride, chlorothalidone, and bisoprolol fumarate.

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    © All Rights Reserved
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    of 2

    PATIENT PROFILE FORM

    PATIENT NAME: xyz HOSP. NO: DATE OF ADMISSION: 15/2/22

    AGE: 67 Yrs WEIGHT: 74 kg SEX: M/F: DATE OF DISCHARGE:

    COMPLAINTS ON ADMISSION

    Unconsciousness, snoring

    MEDICAL HISTORY: hypertension × 6 month


    MEDICATION HISTORY: Amlodipine 5mg
    SOCIAL HISTORY
    FAMILY HISTORY:
    PREVIOUS ALLERGIES:

    PHYSICAL EXAMINATION:
    GENERAL - BP: 138/98 mmhg, PR: 66 /min
    VITAL SIGNS -
    HEENT -
    CVS -
    RS -
    GIT -
    GU -
    EXT -
    CNS - Unconscious
    PROVISIONAL DIAGNOSIS:
    Diabetes mellitus, hypertension
    ROUTINE BIOCHEMICAL INVESTIGATIONS HAEMATOLOGY:
    Urea: RBS: Alb: RBC : Retics:
    S.Cr : 200 ml/m Tch :224 mg/dl Glob: WBC: Hb:
    AST: N: PCV:
    Na: TGs :237 mg,/dl L: MCV:
    ALT: M: MCH:
    K: T Bili:
    ALP: E: MCHC:
    FBS: 175 mg/dl D Bili:
    B: ESR:
    PPBS: 236 mg/dl T. Prot: Platelets:

    URINE ANALYSIS OTHERS


    pH: WBC: Uric Acid –
    Protein: RBC: Cloride –
    Sugars: EP. Phosphate –
    Blood: Casts: TSH –
    Crystals: T4 –
    Stool – CXR –
    XR –
    FINAL DIAGNOSIS:- Diabetes mellitus, hypertension
    DRUG TREATMENT CHART: PROGRESS CHART:
    DRUG WITH DOSE & ROUTE
    DURATION OF THERAPY DAY INVESTIGATIONS
    GENERIC NAME BRAND NAME

    Nitrofurantoin Uritop D1-D2

    Lorazepan Loxum D1-D2

    Glimipride Glimisave D1-D2

    Chlorothalidone CTD D1-D2

    Bisoprolol Fumarate Bisoheart D1-D2

    DISCHARGE MEDICATIONS:

    Not yet discharge


    REVIEW:

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