48 F with OHA induced Hypoglycemia

DOA -9/02/2023
Discharge Date
Date:11/02/2023
Ward:GENERALMEDICINE
Unit:4

 Diagnosis
?OHA INDUCED HYPOGLYCEMIA

Case History and Clinical Findings
PATIENT WAS BROUGHT TO CASUALITY BY HER ATTENDER IN A STAGE OFUNRESPONSIVE TODAY MORNING.
PATIENT WAS APPARENTLY NORMAL 2MONTHS BACK THEN SHE DEVELOPED FEVER LOWGRADE ON AND OFF,INTERMITTENT,SOME TIME ASSOCIATED WITH CHILLS AND RIGORS,NO DIURNAL VARIATION NOT WITH COUGH,COLD ,BURNING MICTURITION + WHICH WASRELEVED WITH MEDICATION.THEN TODAY MORNING PATIENT TOOK ORAL HYPOGLYCEMICTABLET 10 MINUTED BEFORE CONSUMPTION OF FOOD AND HAD BREAKFAST AND SAT
,SUDDENLY SHE BECAME UNCONSCIOUS,ON ARRIVING HOSPITAL HER GCS WAS E1V1M1.PAST ILLNESS:
K/C/O HTN SINCE 5 YEARS :ON UNKNOWN MEDICATIONK/C/O DM 2 SINCE 2 MONTHS:ON UNKNOWN MEDICATIONPATIENT IS CONSCIOUS COHERENT, COOPERATIVE
NO PALLOR,NO ICTERUS, NO CYANOSIS,NO CLUBBING,NO LYMPHADENOPATHY, PEDALEDEMA
BP- 110/70MMHGPR- 76BPM
RR- 20CPMSPO2-98%@RA
CVS- S1 S2 HEARD
RS- BILATERAL AIR ENTRY PRESENT +P/A- SOFT NON TENDER
CNS- NO FOCAL NEUROLOGICAL DEFICIT

Investigation
HEMOGRAM,LFT,SR UREA,SERUM CREATINE,SERUM ELECTROLYTES,FBS,PLBS HBA1C

Treatment Given(Enter only Generic Name)
IVF NS AND RL @75ML/HORLY
GRBS MONITORING 4TH HOURLY
BP,PR RR MONITORING 4 TH HOURLY
INFORM SOS
5 WITH HOLD OHA.
TAB METFORMIN 500MG PO/OD 8AM
TAB GLIMIPERIDE 1MG PO/OD 8AM
9)TAB CINOD 10MG PO/OD 8AM

Advice at Discharge
TAB METFORMIN 500MG PO/OD 8AM
TAB GLIMIPERIDE 1MG PO/OD 8AM
TAB CINOD 10MG PO/OD 8AM

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