Femoral line procedure



 

Comments

Post a Comment

Popular posts from this blog

50 year old male on MHD

Image
  A 50 year old male patient is on maintainance haemodialysis since 10 months. HOPI: patient was apparently asymtomatic 4yrs back and then developed shortness of breath (on and off), pedal oedema (pitting type).Later diagnosed as chronic renal failure and underwent dialysis twice weekly for about 10 months. 6 years back he met with an accident. His right leg got fractured and it took nearly 1 year to heal for which he used few medication continuosly for 1 year. PAST HISTORY: k/c/o HTN since 1 year. Not a K/C/O of DM, thyroid disorders, TB PERSONAL HISTORY:He follows a mixed diet. Appetite -Normal, Bladder movements-normal, Bowel movements-constipation since few weeks. Sleep- decreased.consumes alcohol regularly(90ml ) and stoped consuming1 year back. He is a farmer and stopped working since 1 year. FAMILY HISTORY: No significant family history. DRUG HISTORY: No known drug allegies and patient uses Nicardia 10 mg. General examination : patient is conscious ,coherrent, co operative a...
Read more

13 YEAR OLD BOY COMPLAINTS OF HIGH GRADE FEVER SINCE 4 DAYS

Image
13 YEAR OLD BOY COMPLAINTS OF HIGH GRADE FEVER SINCE 4 DAYS A 13 year old school going boy complaints of  - high grade fever since 4 days - vomitings since 4 days - giddiness ince 4 days - loose stools since 1 day Patient was apparently asymptomatic 4 days back then he developed fever associated with chillschills.  Complaints of vomiting since 4 days- 2-3 episodes/day with food particles as content Loose stools- 5 episodes in the past one day No history of burning micturition, melena, rashes, bleeding gums, hematuria VITALS Temp- 98.8 F PR- 90 bpm BP- 100/60 mmHg  RR- 18 cpm Spo2- 98% at RA GRBS- 118mg% GENERAL EXAMINATION Patient is conscious, coherent and cooperative.  No signs of Pallor, Icterus, Cyanosis, Clubbing, Lymphadenopathy or Edema. SYSTEMIC EXAMINATION CVS: S1 S2 heard, no murmurs/thrills RS: BAE+, NVBS heard PA: Soft, non tender. Liver and Spleen not palpable. Bowel sounds heard. CNS: NFND PROVISIONAL DIAGNOSIS NS 1 + DENGUE INVESTIGATIONS Outside Repor...
Read more

CASE OF A 42YEAR OLD FEMALE WITH MULTIPLE HEALTH EVENTS.

Image
I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.    Original findings of the case link below: https://classworkdecjan.blogspot.com/2019/05/42-f-with-severe-regular-edema-with_17.html?m=1 Following is my analysis of this patient's problem: THE PROBLEMS IN ORDER OF PRIORITY I FOUND ARE :- 1)  Swelling of face and abdomen 2) Migraine with Aura 3) Sleeplessness 4) Weakness on the left side 5) Oliguria 6) Fatigue SWELLING OF FACE AND ABDOMEN It started at the age of 1 and patient still swells up in conditions of: Emotional stress,exercise,smoking or eating the wrong thing.Swelling is mainly in face,neck region and abdomen.   It might be a part of hemolytic crises occuring in patient due to G6PD deficiency. Triggers factors for edema include emoti...
Read more