A case study on cervical spondylitis

It may serve the academic needs of medical & pharmacy students

1. Case study on By, G.MAHESH Pharm.D VI yr 25-12-2013

2. Name:Mrs.x Age:44yrs Wt: 76kg Doa:21/12/13 c/o: Severe headache left side since 1 wk Vomiting 3 episodes since morning Neck pain radiating to shoulder Giddiness,insomnia,blurred vision,freguent Urination, burning micturition,lower back ache

3. Past medical history: Recently detected HTN on T.AMLONG 5mg 1-0-0 o/e: Conscious,oriented,afebrile BP-140/80 mm Hg CVS-s1s2+ PR-80 beats/min RS-NVBS RR-20/min CNS-NAD P/A-soft

4. INVESTIGATIONS: CBC Hb-10.1gm% PCV-31.4% RBC-4.14millioncells/ cumm WBC-9900cells/ cumm ESR-32/hr MCV-75.8 MCH-24.4 MCHC-32.2 PC-4 lacs

5. RBS-74gm Urea-32 Sr.cr-1 Na-144mmol/l K-3.2mmol/l Cl-102mmol/l HCO3-22mmol/l Total cholestrol-151 Triglycerides-75 HDL-42 LDL-94 VLDL-15 CHOL/HDL-3.6

6. CT scan of paranasal sinuses IMP: B/L sclerosing mastoiditis Septated maxillary sinuses Patent osteomeatal unit Deviated nasal septum to right

7. DIAGNOSIS: Cervical spondylosis , cervical radiculopathy,SHT,migrain ,

8. TREATMENTS Brand Generic Dose Freq duration 19 20 21 22 Inj.monocef ceftriaxone 1gm bd s t.Amlong amlodipine 5mg 0d s t.Vertin betahistine 25mg bd S S S s t.Tydol tapentadol Sos S S t.Maxgalin m pregabalin 75mg bd S S S t.Nexito escitalopram 10mg S S c.Betacapt propanalol 5mg S S t.Anxit alprazolam 0.5mg Hs S t.Vasograin ergotamine Hs S S Avamy nasal spray fluticasone Bd S S

9. S A 44 yr old F patient has severe headache, vomiting,neck pain radiating to shoulder,giddiness,insomnia,blurred vision,freq urination,burning micturition,lower back ache.Recently fount as HTNsive on T.AMLONG 5mg O ESR was elevated CT shows B/L sclerosing mastoiditis Septated maxillary sinuses Patent osteomeatal unit Deviated nasal septum to right A patient was diagnosed with Cervical spondylosis,SHT,migrain,follicular tonsilitis P Planned for tonsillectomy.Pt can be treated with analgesics,antibiotics,corticosteroids,antideprresnts,anxiolytics,antiemetics and PPI