Day 56 : Deviation of mouth leading to Bell's Palsy

Sunday 27/11/22 Adarsha Hospital,Kundapura

I had night duty today, So didn't see much patients. But in the evening there was an interesting patient.

The patient was Mrs.Sudha, 26 year old female with no premorbid illness presented with c/o deviation of right side of mouth with right upper limb weakness. She also had drooping of right eyelid. She was admitted to ward and was advised for blood investigations,ECG,CXR and CT Brain.

Her blood tests were normal except slight rise in total counts of WBC, ECG,CXR abd CT Brain were normal. She was reffered to Physician Dr.Nagesh.

When Dr.Nagesh saw the patient he immediately diagnosed her as Bell's Palsy and nothing else. He was 100% confident.

He advised the following treatment and said that it will take one week to recover and there is no need to worry.

His treatment was as following:

1. Inj MOCEF 1gm IV ATD 1-0-1

2.Inj EMESET 4mg IV 1-1-1

3.Inj PANTOP 40mg IV 0-0-1

4.Inj NERVIJEN PLUS IV 0-0-1

5.Tab SUPRADYN P/O 1-0-1

6.Tab WYLOSONE 10mg 1-1-1

Bell's Palsy - Causes,Symptoms,Risks, Complications , Diagnosis and Treatment

Comments

Day 49 : To find out the cause of Black tarry stools (Melena)

Saturday , Adarsha Hospital,Kundapura The day started well with an RTA skid and fall case which was then reffered to KMC,Manipal. Then finished Dr. Adarsh Sir rounds and followed by his OPD. In the evening almost at 4:00PM a case came to casuality reffered by a local doctor. The patient was Mr.Channayya Poojari , middle aged man k/c/o HTN came with c/o Black tarry stools since 3 days with generalised weakness,myalgia. He was having multiple episodes of loose stools since 3 days. He is a chronic smoker and Old Alcoholic (Left 10-15 years back). He had Haemorroids few years back and had undergone haemorroidectomy two years back.He had Icteus+ . On examination his vitals and systems were normal. On P/R examination some blood was seen which looked like recent bleed. source : Osmosis.org We sent some lab investigations like CBC,RBS,RFT,LFT,Serum Electolytes till sir had to come. Had thought of sending for stool for occult blood once sir examined the patient. Primary ...

Day 52 : OCD and lustful thoughts of Ganesh

Tuesday 22/11/22 Adarsha Hospital, Kundapura The day started at 11 am due to temporary shift changes. I finished Dr.Adarsh sir OPD and went to casuality with sir for dressing. At that time, he called Dr.Krathika to say something. He said write the full form of OCD (Obsessive compulsive disorder) otherwise the insurance people may not sanction the amount. I wondered what it might be at first as I was unaware of the term OCD. Then I found out that the patient diagnosed with OCD was Mr.Ganesh. I had seen him two days before when he came for admission to our hospital. He had unusual complaints like he had lust for girls etc. But my duty was about to finish that day and the next day I was on leave, So I missed to see him. Then I looked at his Case sheet,Mr. Ganesh, a 24 year old boy had c/o bad dreams with unwanted thoughts in day and night. He would feel lust to any girl he sees and he is also ashamed of his thoughts. He consulted Psychiatrist Dr.Nithin and he had advised a...

Day 53: The Bladder cancer and TURBT

Thursday 24/11/22 Adarsha Hospital, Kundapura More details about TURBT Transurethral resection of a bladder tumor (TURBT) can involve both biopsy and tumor removal (resection). Because the procedure goes through the urethra, no incisions are necessary. The surgery can prevent cancer from invading the muscle wall.

Victor's Medical Diary

Search This Blog