A 28 Y old female resident of durgapur came to hospital on
22nd may 2017 with the chief complaint of altered sensorium, slurring
of speech, drowsiness and since 1day.
Patient was apparently alright 1 year back around April 2016,
it all started after caesarean section of pregnancy where she had developed bleeding,
after 1 hour she developed flushes and anasarca. At that time she passed only
650 ml of urine.
After transferring to a higher centre where she was
diagnosed as AKI (Acute Kidney Injury). She was given haemodialysis for 1.5
months. During this she developed sepsis for which she was given meropenem
injection.
In the month of June she was given 1 unit of blood as her
RBC were decreased.
During July and august she developed DVT in the femoral vein that had a hemodialysis catheter inserted in it.
After that she developed restlessness, slurring of speech
for which she was admitted to hospital where she has undergone 3 cardiac
arrests and she survived all the three. After few days she got discharged.
During this stay the blood sugar was fluctuating, difficulty in speech and drowsiness
developed.
From December peritoneal dialysis has started and still on
it.
After that in February 2017 she lost her left. eye and replaced with artificial eye.
After that she also developed hospital acquired psychosis for which quitipine is given
On General Examination;
Patient is conscious, disoriented to time place and person
Examination:
MMSE couldn't be done because of the patient not able answer the questions
Right Left
Knee Jerk Normal Absent
Ankle jerk Normal Normal
Plantar reflex Normal Normal
Biceps Jerk Normal Normal
Triceps Jerk Normal Normal
Brachioradialis Normal Normal
Investigation:
MRI:
CT Scan:
A small PPT presented by Chandrima (IQ City student)
The PPT presented after two years at Kamineni Institute.
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