Orchitis-Case Study
- 1. CASE PRESENTATION ON ORCHITIS
- 2. Name: Mr. X Sex: Male Age: 54 years DOA: 24/10/13 Weight: 60kg Chief Complaints: Severe testicular pain radiating to the abdomen C/O vomitting. C/O History of Present Illness: H/O left abdominal pain H/O decreased appetite Past Medical History: K/C/O DM 15 Years
- 3. Past Medication History: Metformin-500mg,glimepiride-1mg, Underwent surgery for right inguinal hernia since 5 years before Social History : Non-Smoker, non-alcoholic, married Physical Examination: Patient is conscious/ oriented. No Pallor, cyanosis, clubbing. Normal lymph nodes. On Examination: Temp: Afebrile B.P: 120/80mmHg Pulse: 80/min System Examination: CVS: S1S2+, RS: NVBS CNS: NFND P/A: Soft, Painful
- 4. LAB INVESTIGATIONS PARAMETER OBSERVED VALUE NORMAL RANGE Hemoglobin 14.8g/dl 14-18g/dl RBC 4.7millions/mm3 4.5-5.6million/mm3 ESR 21mm 5-15mm PCV 47% 45% DC N-85% Total WBC 13500cells/mm3 4000-11000 cells/mm3 MCV 91.6 80-96fl/red cells MCH 30.2 26-33pg/cells MCHC 33 31-36g/dl Platelet 2,45,000cells/mm3 1,50,0004,00,000cells/mm3 Blood sugar(FBS) 202 60-100 L- 35% E-2% N-40-75% L-30-50% E-2-6%
- 5. PARAMETER OBSERVED VALUE NORMAL RANGE BUN 22mg/dl 8-23mg/dl Creatinine 0.8mg/dl 0.6-1.2mg/dl Sodium 135mmol/l 135-147mmol/l Potassium 4.8mmol/l 3.5-5.2mmol/l Chloride 98mmol/l 95-107mmol/l Bicarbonate 22mmol/l 22-30mmol/l Total Bilirubin 0.7mg/dl 0.3-1.0 mg/dl Direct Bilirubin 0.3 mg/dl 0.1-0.3 mg/dl Indirect Bilirubin 0.4 mg/dl 0.2-0.7 mg/dl Renal Function Tests: Liver Function Tests:
- 6. PARAMETER OBSERVED VALUE NORMAL RANGE SGOT 22U/L 12-38U/L SGPT 34U/L 7-41U/L Albumin 4.3g/dl 3.5 – 5.3 g/dl Globulin 2.2g/dl 2-3 g/dl Total protein 6.5g/dl 5.5-9.0 g/dl Alkaline phosphatase 228U/L 84-306 U/L Gamma GT 28 U/L 5-50 U/L Prothrombin time 14 seconds 10-15 seconds Urine analysis: Colour yellow pH 6.0 Epithelial cells 0-2 Protein Trace
- 7. OTHER INVESTIGATIONS Visible swelling of the testicles Culture sensitivity: Specimen: Urine - Growth observed (Culture positive) Urine acetone –negative Bleeding time -1’ 55’’ Clotting time 4’00’’ HbA1c: 7.2 USG Colour Doppler: Impression: Normal spermatic cords. Normal blood flow to both the testicles was observed.
- 8. Diagnosis: Orchitis Drug chart: Drugs Dose ROA Frequency No. of Days Glibenclamide+ Metformin 2.5mg+ 400mg P/O BD X1 Imipenem Cilastatin 1g IV TDS X3 Ondansetron 4mg P/O BD X3 Rantitidine 2ml IV TDS X3 Otilinium bromide 60mg P/O BD X2 T. Gelusil P/O BD X3 T. B complex P/O OD X3 Metformin 500mg P/O BD X 2 (Continued Human Lispro Insulin 30U SC OD X 2 (Continued
- 9. DISCHARGE ADVICE: 1. T. Metformin – 500mg – 1-0-1 2. Human lispro – 1-0-0 (30U)
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