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    A Case Presentation On Enteric Fever

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    Job George
    This case presentation describes an 18-year-old male patient admitted to the hospital with a fever, chills, rigors, headache and cough for 8 days. Physical examination found a temperature of 99 degrees and a positive Widal test. The patient was diagnosed with enteric fever. He was treated with medications including Rebiprazo, Ondensetron, Artisunate, Diclofenac and Ceftriaxone. His symptoms improved over time and he was discharged after 8 days with medications including Paracetamol.

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    A Case Presentation On Enteric Fever

    Uploaded by

    Job George
    73 views15 pages
    This case presentation describes an 18-year-old male patient admitted to the hospital with a fever, chills, rigors, headache and cough for 8 days. Physical examination found a temperature of 99 degrees and a positive Widal test. The patient was diagnosed with enteric fever. He was treated with medications including Rebiprazo, Ondensetron, Artisunate, Diclofenac and Ceftriaxone. His symptoms improved over time and he was discharged after 8 days with medications including Paracetamol.

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    A Case Presentation on Enteric Fever

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    This case presentation describes an 18-year-old male patient admitted to the hospital with a fever, chills, rigors, headache and cough for 8 days. Physical examination found a temperature of 99 degrees and a positive Widal test. The patient was diagnosed with enteric fever. He was treated with medications including Rebiprazo, Ondensetron, Artisunate, Diclofenac and Ceftriaxone. His symptoms improved over time and he was discharged after 8 days with medications including Paracetamol.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    73 views15 pages

    A Case Presentation On Enteric Fever

    Uploaded by

    Job George
    This case presentation describes an 18-year-old male patient admitted to the hospital with a fever, chills, rigors, headache and cough for 8 days. Physical examination found a temperature of 99 degrees and a positive Widal test. The patient was diagnosed with enteric fever. He was treated with medications including Rebiprazo, Ondensetron, Artisunate, Diclofenac and Ceftriaxone. His symptoms improved over time and he was discharged after 8 days with medications including Paracetamol.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 15

    A CASE PRESENTATION ON ENTERIC FEVER

    Presented by Rajveer singh chopra Pharm.D(P.B) vth year Department of Clinical Pharmacy

    PATIENT DEMOGRAPHIC DETAILS


    Patient Name - Xyz Patient Age - 18 Sex - male Unit - Medicine B Date of Admission 01/03/2011 Date of Discharge 08/03/2011

    COMPLAINTS ON ADMISSION C/o fever with chills and rigours since 8days . c/o Headache since one weak. h/o cough (dry)

    PHYSICAL EXAMINATION General BP 110/70 mmHg PR - 94bpm CVS - S1, S2 normal RS - B/L Normal Vesicular Breath Sounds present Temperature 99 Widal test +ve Hb 12.6 gms% FINAL DIAGNOSIS Enteric fever

    SUBJECTIVE EVIDENCE C/o fever with chills and rigours since 8days . c/o Headache since one weak. h/o cough (dry

    OBJECTIVE EVIDENCE: Widal test +ve Tempt.99 Hb 9.6gms %

    ASSESSMENT From subjective and objective evidence, it was diagnosed as the patient was suffering from enteric fever .

    THERAPEUTIC GOALS Patient specific To relieve the patient from chills and rigours. Disease specific To normalize the tempt.

    ASSESSMENT OF CURRENT THERAPY


    Drugs 1 + Inj. Rebiprazo le 20mg Inj. Ondensetr on 4mg Inj. Ondensetr on 4mg Inj. Artisunate 120mg Inj.Diclofin ac Tab tab. Paracetam ol 650 mg IVF 20DNS Ceftriaxon e+salbact um 2 + 3 + 4 + 5 + 6 + 7 + 8 +

    stop

    +sos +

    + +

    + +

    + sos

    + -

    + -

    + -

    + -

    PROGRESS CHART
    Day 1 C/O slight headache BP 102/70 mmhg PR 78bpm DAY 2 C/o fever Pr 80 bpm Day3

    Day3 No fresh complain PR 80bpm Bp 110/70mmhg Day 4 c/o giddiness BP 114/80mmhg 90bpm

    Day 5 no fresh complain BP 112/70 mmhg pr 80bpm day 6 no fresh complain BP128/75 mmhg pr 88bpm day 7 BP110/68mmhg PR 80 bpm

    PLANNING Discharge medications : Tab. Paracetamol Tab MONITORING PARAMETERS Monitor to the body temperature . Therapeutic parameters: To avoid further complications like migraine. Toxicity parameters:

    PATIENT COUNSELLING
    "Boil it, cook it, peel it, or forget it"

    Avoid popsicles and flavored ices that may have been made with contaminated water. Eat foods that have been thoroughly cooked and that are still hot and steaming. Avoid raw vegetables and fruits that cannot be peeled. Vegetables like lettuce are easily contaminated and are very hard to wash well. When you eat raw fruit or vegetables that can be peeled, peel them yourself. Wash your hands with soap first. Do not eat the peelings. Avoid foods and beverages from street vendors. It is difficult for food to be kept clean on the street, and many travelers get sick from food bought from street vendors. Mentaine the hygiene condition .

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