80 y/o male with hypoglycemia
Manvi Sharma
Roll no 88
Batch of 2018
Case history-
14 September 2022
An 80 year old male, a resident of Chityal was brought to the casualty in an unresponsive state at around 6:00am.
The patient was apparently alright few hours back. The day before he ate at 5 pm and went to sleep.He woke up and then couldn't sleep again at night. He tried sleeping but suddenly got up and then experienced a fall. Went to sleep again without eating anything.
He woke up at around 1:00am to have some food (a glass of milk and rice). He then slept back.
At around 4:00 am he felt uneasy and tried to wake up his wife by tapping her. She didn't respond initially. Later, she saw that he was sweating profusely, had raised body temperature and was unable to see or unable to talk even though there was movement of the neck muscles.
He was taken to the nearby hospital in Ramanapet where they noticed that his pupils are asymmetric and non- reactive to light.There was increased effort of breathing and fall in BP.
He was treated with IV DNS and O2 supplementation.
After this he came to our hospital.
Past history -
He is not a k/c/o DM, HTN , TB, asthma, epilepsy, CAD,CVA
Personal history-
He lives with his wife. He used to work as a shepherd but now stays at home.
His son lives nearby in the same village.
Diet - mixed
Appetite - decreased
Bowel & bladder movements - regular
Sleep - adequate
Addictions -none
Family history -
No significant family history
Vitals -
Temp - 98.3 F
BP- 160/90 mm Hg
PR- 88 bpm
GRBS - 42 mg/dl
spO2- 83% on room air
98% on 8L O2
General physical examination -
The patient is conscious, coherent and cooperative and well oriented to time, place and person.
No pallor, icterus, cyanosis, clubbing, lymphadenopathy and pedal edema
Systemic examination -
CVS - S1, S2 heard
RESPIRATORY SYS- crepts+, wheeze+
CNS- No focal neurological deficits
GI SYS- non tender , no organomegaly
Investigations -
On 14-9-22
Hemogram
LFT
RFT
1st ABG
2nd ABG
ECG
CXR
On 15-9-22
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