ACUTE GASTRITIS

C/o  INCREASED FREQUENCY OF STOOLS SINCE 4DAYS

VOMITINGS SINCE 1 DAY

HOPI: PATI NT WAS APPARENTLY NORMAL 4-5 DAYS BACK THEN HE DEVELOPED LOOSE STOOLS 2-3 EPISODES/DAY INITIALLY ND INCREASED TO 8-10 EPISODES PER DAY.STOOLS ARE SMALL VOLUME, A/W PAIN DURING DEFECATION SEMISOLID, ASSOCIATED WITH MUCUS/?PUS ANDIXED WITH BLOOD A/W PAIN ABDOMEN.

SINCE TODAY MORNING PATIE T HAD 2 EPISODES OF VOMITINGS, NON PROJECTILE,NON BILIOUS,FOOD PARTICLES AS CONTENTS.

NO H/O FEVER, NO GIDDINESS,. NO H/O ALLERGY

NO DM,HTN,BA,TB

VITALS: AFEBRILE,. PR-113BPM.   RR-16/MIN.  BP-130/80(SUPINE).  100/80 MMHG(STANDING).    SPO2 98%.   GRBS-141

DIAGNOSIS:ACUTE GASTRITIS

INVESTIGATIONS-HAEMOGRAM,CUE,LFT,RFT,CXR,ECG,

USG ABD-NO SONOLOGICAL ABNORMALITIES DETECTED.

TRATMENT GIVEN:

(1) IVF  NS,RL.  @100ML/HR

(2) INJ.PAN 20MG IV/OD

(3) INJ.ZOFER 4 MG /IV/TID

(4) INJ. PCM 450 MG /IV/IN 100 ML NS.  SOS(IF >102°)

(5) TAB.PCM 500 MG/PO/SOS

(6) TAB.SPOROLAC-DS. 1 TAB/PO/TID 

(7)ORS/SACHETS. IN 1 LITRE OF WATER  IN 100ML AFTER EVERY EPISODE OF LOOSE STOOLS

(8) INJ.METROGYL 500 MG /IV/BD

(9) INJ.CIPROFLOXACIN 500 MG/IV/BD

(10) SYP.ZINCOVIT 

Advice at discharge

(1)TAB.METROGYL 400mg TID for 4 days

(2)TAB.CIPROX 500mg BD for 4 days

(3)TAB.SPOROLAC PO/TID FOR 2 DAYS

(4?TAB.PANTOP 40 MG PO/OD FOR 4 DAYS 

1----X-----X

(5)TAB.PCM 500 MG SOS

(6) PLENTY OF ORAL FLUIDS

(7) ORS FOR 4 DAYS.