In 2010 patient complained of giddiness followed by loss of consciousness and deviation of mouth to right and no seizures
she was taken to a local hospital wjere sje was tld to have high sugars and was admitted in ICU followed by ward and was discharged after 20 days discharged on insulin
6 months lated she went for regular check up and was told to have high sugars, was admitted in the ward and was sent with OHA
pt has been on OHAs since then
pt had giddiness 8 months ago when she was diagnosed with PCA stroke
c/o headache since 2 months, CT was done in November 2
pt complained of giddiness since 3 days, abdominal pain on and off since 3 days
pt came to OPD with
FBS- 415
PLBS- 582
HBA1C- 8.5
pt was not willing for admission sl patient was asled to shift to insulin from tab glimi m2. BD
since 3 days, patient has been on inj himan mixtard- 12U----x----5U
no c/o fever, sob, cough, burning micturition.
K/c/o- DM2 on tab glimi m2 bd, on insulin since 3 days
not a k/c/o htm, cva, ba, tb, epilepsy
personal history-
she is married,
home maker
with mixed diet, normal appetite
regular bowel and bladder habits
she is does not consume alcohol, use cigarettes illicit drugs
No significant family history
o/e-
no pallor, icterus, cyanosis, clubbing, lad, pedal edema
PR- 76
BP- 130/80
RR- 18
SPO2- 98
GRBS- 584
CVS- S1 S2+
RS- BAE+ NVBS+
PA- Distended, soft, nt
CNS- NAD
Provisional diagnosis- Diabetic Ketosis, DM+ since 10yrs,
PCA stroke 8 months ago
treatment given-
inj avil 2cc iv stat
inj zofer 8mg iv sos
inj levipil 1 gm iv stat
inj pan 40 mg iv
inj HAI 6 unit iv stat followed by 6ml/hr infusion
GRBS charting hourly
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