28 Y /O MALE WITH ACUTE DIARRHEA

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Patient came with c/o loose stools since 8 days, vomitings since 2 days, decreased appetite since 4 days.

Patient was apparently asymptomatic 8 days back and then developed loose stools, insidious in onset, gradually progressive, 2-3 episodes per hour, watery in consistency non foul smelling, non blood stained, no pus,

H/o 2 episodes of vomitings 5 days prior to admission, non projectile, non bilious, subsided.

HOPI

No h/o fever, cold, cough

No h/o chest pain, breathlessness, palpitations, syncope

No h/o pain abdomen, burning micturition

Past History

Not a k/c/o DM, HTN, asthma, thyroid disorder,seizure disorder, cad,cva.

Personal History

The patient is a resident of Chityala, plexi designer by occupation. Patient is exposed to unkown toxins during his daily work.

Appetite is lost, regularly eats food from outside , regularly consumes alcohol 90 ml / day.

loose stools since 8 days, 2-3 episodes per hour.

Non smoker

No h/o tobacco and drug use

Family History:

No significant family history

Physical Examination

General:

No Pallor, icterus, cyanosis, koilonychia, lymphadenopathy, edema.— Edema developed on 27/12

Temperature: Afebrile

PR: 89

RR: 15

BP: 80/60 mm Hg

GRBS: 115 mg /dl

P/A

Scaphoid , non tender, no palpable mass, free fluid, hernial orifices are normal, no bruits, no organomegaly.

CNS

Reflexes normal

No FND

CVS

S1 S2 Heard No murmurs

RS:

BAE +, NVBS heard

Investigations:

Stool Microscopy

Treatment 

IV FLUIDS RL , NS  at 75 ml/hour

With 1 amp OPTINEURON

INJ CIPROFLOXACIN 200 mg IV BD

INJ METROGYL 500 mg IV TID

INJ PAN 40 MG IV OD

INJ ZOFER 4 mg IV SOS

ORS SACHETS 

CAP REDOTIL 100 mg po bd

TAB SPORLAC DS PO TID

INJ NEOMOL 1 gm IV SOS

TAB DOLO 650 PO TID