Case presentation formate

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TUBERCULOSISTUBERCULOSIS

Presented by

Mr. Vishal Suresh Bagul

Pulmonary Tuberculosis (TB) : Is a contagious bacterial infection that involves the lung,but may spread to other organ. The following people are at higher risk for active TB

.Infants

.Elderly

.

Presented by -Mr. Vishal Suresh Bagul


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PROFORMAPROFORMAName : Miss.A.B.CAddress :----Age : 07 yrsSex : femaleWeight : 20 kgHospital name :PQR HOSPITALD.O.A : 16/12/20Consultant name : Dr. XYZ


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Social History : Non smoker, Non alcoholic

occupation : student Family History : None

Diagnosis : FEVER, REDUCTION OF WBCFEVER, REDUCTION OF WBC

Associated Disease : TUBERCULOSISTUBERCULOSIS


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Past medical history:Past medical history:

None

Past medication history:Past medication history:

None


HAEMOGRAMHAEMOGRAMTESTTEST UNITSUNITS NORMALNORMAL

RANGERANGEHAEMOGLOBINHAEMOGLOBIN 11.0gm%11.0gm% M-14-18 gms%M-14-18 gms%

F-12-16 gms%F-12-16 gms%W.B.CW.B.C 40004000 4000-10000 per 4000-10000 per

cmmcmmPLATELETSPLATELETS 153000 Lacs/cmm153000 Lacs/cmm 1.5-4.5Lac/cmm1.5-4.5Lac/cmm

R.B.CR.B.C 4.44 4.44 3.8-5.8 mil/cmm3.8-5.8 mil/cmm


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SEROLOGY SEROLOGY REPORTREPORT

TESTSTESTS PATIENT’SPATIENT’SVALUEVALUE

NORMAL NORMAL RANGESRANGES

UreaUrea 2525 13-45 mg/dl13-45 mg/dl

S.G.P.TS.G.P.T 9191 6-40Units/Lit.6-40Units/Lit.


DENGUE SPECIFIC IGM & IGG DETECTION TEST

DENGUE NS1 ANTIGEN NEGATIVEDENGUE IgG NEGATIVEDENGUE IgM NEGATIVE


SEROLOGY REPORTSEROLOGY REPORTTEST NAME : MANTOUX TEST PPD Given By : 22/10/14Reading On : 24/10/2014Result : POSITIVEMethod : IOTU PPD Administered Observation : 12×12mm erythema & induration seen.


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MEDICATION DETAILSMEDICATION DETAILSDRUG FORM DOSE FREQ. DATE USEMaftagesic-DS

SYRUP 2 Spoon Twice a day 15.10.14 – 16.10.14

Antipyretic

Cyclopam TABLET -- At night 1 tab 17.10.14 – 18.10.14

Antispasmotic

Cifran 250mg TABLET 250mg Twice a day 18.10.14 –24.10.14

Antibacterial

Traxon 50mg TABLET 50mg Twice a day 18.10.14

Chloramphenicol

CAPSULE -- Thrice a day 18.10.14 –24.10.14

Antibiotic

Vomikind SYRUP 1 Spoon Twice a day 24.10.14 Antiemetic

Rcinex kid TABLET 2 tab in morning

24.10.14 –To complete cure

Antitubercular

Pyrazinamide 250mg

TABLET 250 mg Twice a day 24.10.14-To complete cure

Antitubercular


DRUG INTERACTION1)MAFTAGESIC ds {MEFENAMIC ACID} – DO NOT TAKE WITH HYDROCORTISON..ETC…It cause unusual bleeding, Abdominal painDizziness..etc

2)R CINEX {RIFAMPICIN} -DO NOT TAKE WITH hydrocortisone cause it reduse the blood level.

3) PYRAZINAMIDE —ISONIAZIDE,LOITAPIDAE, RIFAMPIN, MIPOMERSAN..ETC

4) CYCLOPAM {DICYCLOMINE}---DO NOT TAKE WITH BISACODYL ,POTASSIUM CHLORIDE . Etc cause nausea, vomiting, Abdominal pain, Dizziness etc


Advice to Advice to patient patient (Role of pharmacist in TB )

1.To take their anti-tuberculosis medication regularly.2. To cover their mouths when they cough or sneeze. 3. To spit in a paper tissue and then throw it away into a closed trash can or a toilet. 4. To take care of themselves: to eat well and get a lot of sleep. 5. To continue their usual leisure and work activities to the best of their ability, according to their doctor’s advice.


Patient CounsellingPatient Counselling• DISSCUSS THE SIGNS AND SYMPTOMS OF EVENTS.• TEACH THE PATIENT CAUSE OF ARM PAIN &

TREATMENT. • WEIGHT SHOULD BE CONTROLED.• PATIENT IS REQUEST NOT TO ALTER DOSE OR CHANGE

THE DOSAGE FORM • PATIENT SHOULD DUELY VISIT DOCTOR AND HAVE

THEIR BLOOD& OTHER CONCERNE PROFILE UP DATEDED.

• REGULAR CHEKUPS AT THE CLINIC AT LEAST MONTHLY.• TO CHECK CHEST X-RAY,SPOOTUM TEST REGULARLY.• THE MEDICATION TAKE REGULARLY 9 MONTH OR

LONGER • REPORT ANY SIDE EFFECTS TO YOUR TB SPECIALIST.


KD Tripathi. Essentials of Medical Pharmacology, Jaypee

Brothers Medical Publishers pvt LTD, New Delhi; 6th

Edition; pg. 203-204

Drug today, Ready Reckoner of Current Medical

Formulations, Vol. I-II, jan-mar 2010, pg. 230,970.www.medicinenet.comPharmainfo.netwww.google.comMims.com

REFERENCES


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