UTI full detailed presentation power point.pptx

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1. CASE PRESENTATION

2. Urinary Tract Infection

3. Patient’s details Patient name : A BC Patient IP No. : IP 28803 Date of admission : 01/12/2022 Department : General Medicine department Age : 27 years Gender : Male

4. Complains on admission Abdominal pain Burning micturition Since 5-7 days

5. Medical History : - Medication History : - Social History : Patient is a factory worker and has no history of smoking or tobacco. Family History : Lives with 7 family members 7 adults. Previous Allergies : NA

6. Physical Examination Vitals: Day 1 (1/12) Day 2 (2/12) Day 3 (3/12) BP (mmHg) 130/80 110/70 110/70 Resp. Rate (cycle/min) 20 18 20 Pulse (bpm) 80 74 76 Temp. ( F ) 98.1 98 98 spO 2 (%) 98 98 98

7. HEMATOLOGY Lab. Parameters 30/11/22 Hb (12-16 gm%) 13.3 WBC (4-11 × 10 3 /cmm ) 10800 Neutrophil (40-75%) 56 Eosinophils (1-6%) 03 Basophils (0-1%) 00 Lymphocytes (20-45%) 36 Monocytes (2-10%) 03 RBC (3.5-5.5 × 10 6 /cmm ) 5.16 PCV (37-54 %) 43.3 Lab. Parameters 30/11/22 Platelets (1.5-4 × 10 5 /cmm ) 162000 MCV (80-100 fl) 83.9 MCHC (32-36 g/dl) 30.7 RDW (11-16 %) 14.5 MCH (27-34 pg) 25.7 Band cells (3-5 %) 00 Creatinine ( 0.5 – 1.4 mg/dL) 0.5 MPV (6.5-12 fl) 6.9 RBS ( 70 – 140 mg/dL) 134.5

8. SPECIFIC TEST M. C. U. G. : (2/12) Urinary bladder is over distended with normal filling of posterior urethra. No existence of any stricture. USG Abdomen: (28/11) No significant abnormality seen. No e/o liver abscess seen. No e/o of pancreatitis . Widal Test: (2/12) S. Typhi H – 1:180 S. Typhi O – 1: 180

9. FINAL DIAGNOSIS Urinary Tract Infection

10. Drug treatment chart Sr. No. GENERIC NAME BRAND NAME ROA DOSE FREQUENCY AND TIME INDICATION DAY1 DAY2 DAY3 1 Pantoprazole Inj. Pan IV 40 mg 1-0-1 Acidity * * * 2 Ondansetron Inj. Emset IV 4 mg 1-1-1 Nausea & Vomiting * * * 3 Ciprofloxacin Inj. Cipro IV 500 mg 1-0-1 Bacterial infection * * * 4 Diclofenac Inj. Dynapar IV 75 mg 1-1-1 Pain * * * 5 Normal saline/ Ringer Lactate/ DNS Inj. NS / RL/ DNS IV 120 ml/ hr 1-1-0 Fluid replacement * * * 6 Disodium hydrogen citrate Syp. Citralka PO 1.53 gm 1-1-1 Burning Micturition * * *

11. Drug treatment chart SR.NO. GENERIC NAME BRAND NAME ROA DOSE FREQUENCY AND TIME INDICATION DAY 1 DAY2 DAY3 7 Oxetacaine Mucaine Gel PO 350 ml 3-3-3 Acidic injury in stomach * * * 8 Rabeprazole Inj. Rablet IV 20 gm 1-0-0 Acidity * 9 Vitamin B complex + Vit C + biotin Tab. BEPLEX FORTE PO 1500 mcg+ 150 mg+ 260 mcg 0-1-0 Weakness * * 10 Dicyclomine Tab. Cyclopam PO 325 mg 1-0-1 Abdominal Pain * * 11 Metronidazole Inj. Metrogyl IV 100 mg 1-1-1 Bacterial Infection * *

12. Points TO PATIENT Practice good hygiene: Regularly bathe genitals with soap and water to minimize growth and colonization of bacteria. Avoid spermicidal lubricants: Lubricants can act as a vessel to transport and harbour bacteria. Avoiding lubricants can help prevent bacteria from entering the urethra. Thoroughly clean catheters: If you use a catheter to help empty your bladder, make sure you are following all cleaning and sterilization procedures. Catheter use is one of the leading causes of UTIs in men. Treating blockages of the urethra: If your urinary tract infection is caused by BPH, kidney stones, or a structural abnormality that is blocking your urethra, your doctor may be able to provide treatment to address the blockage and prevent future infections.

13. Drinking Lots of Fluids: This may help wash out bacteria from the bladder. Cranberry Juice or tablets. Change Urination Habits: Urinate whenever you have the urge, do not hold it. Urinate soon after sex to flush bacteria that may have been pushed into the urethra. After using the toilet, wipe from front to back to keep bacteria away from urethra.

14. Thank you