18/2/22


Morning examined 60M with DKA & Fourniers gangrene. Repeats and rounds attended.
Went to OPD as it is my duty day under unit 5.
Attended casuality for 3 cases 
1. Hypoglycemia 2to insulin 
60M alcoholic took insulin yesterday night and had toddy and morning took insulin following which he didn't had breakfast and brought to casuality in unresponsive state. As patient attenders have personal problems they went on LAMA.

2. 65M k/c/o CKD with portal hypertension managed conservatively since 5 years brought to casuality with c/0 blood vomitings 6-7 episodes since today morning. Patient referred to higher center for Endoscopy and variceal banding.

3. 60M hypertensive presented to opd with c/o rt sided UL & LL weakness a/w deviation of mouth to left and loss of speech  diagnosed with MCA ischemic stroke ? Cardioembolic stroke. As patient able to talk attenders were not willing for admission and left the hospital.

Did night duty and saw opthal referal in view of hyperglycemia. 55F POD 1 for SICS with PCIOL on tab. Wysolone 40mg OD grbs 252. Started on inj. HAI.

Attended casuality to help nephro duty pg to help for intubation elderly make with gr4 SOB with derranged RFT known diabetic.

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