ISLAMIC INTERNATIONAL MEDICAL COLLEGE TRUST

HOSPITAL: Railway hospital PATIENT NAME: SHA EEL IN*HARE M&O&DR Sal+a, CASE HISTORY SHEET PRESENT COMPLAINTS: Patient is epileptic since he was 3month old. He is mentally and physically retarded. HISTORY OF PRESENT ILLNESS: Epilepsy Mental retardation C/o unable to take any food Body stiffness Constipation Unconscious since march. PAST MEDICAL HISTORY A-+itt%- pr%.io/sly with c"o o0 .o+iti,1 a,- 0its& FAMILY HISTORY: SOCIO-ECONOMIC CONDITION: Low%r class 0a+ily& 2ath%r is co,sta3l%& PERSONAL HISTORY: SMO IN! ADDI*TION DIETR4 HABBIT INTEREST"HOBBIES Nil Nil SATIS2A*TOR4 SATIS2A*TOR4 WARD: Psychatric A!E"SE#: $1yrs"Mal% BED NO: 01 D&0&A: 0'(0)($011

GENERAL PHYSICAL EXAMINATION: VITAL SIGNS: B&P: P6LSE: TEMPERAT6RE: RESPIRATOR4 RATE: ABDOMEN: *NS: SaO$ ROUTINE EXAMINATION: Recommended: Bloo- *P: ESR Bloo- s/1ar <to ch%c= i0 pati%,t is -ia3%tic> 6ri,% *h%st #(ray L2T?S: R2T?S PROVIONAL DIAGNOSIS; 110"50++H1 70"+i, 87&$ 29 $'"+i, so0t: ,ot t%,-%r& I,tact 88;o, roo+ air

EPILEPSY

PRESCRIBED MEDICATIONS Tab. Phenobarbitone 5mg (1+1) IN . CE!ITIS 1" IN (#$otrima%o$e) Tab.TE"RA! &''mg (&+&) Tab.(AMOT ((amoti)ine *' mg) Tab. (o$i# a#i) (1+1+1) In+,-ion 5.De/tro-e S0r,1. Pana)o$(& t-+ t)-) S0r,1. Crema++in (&t-+ t)-) IN .CE!ITIS BN( RECOMMENDED DOSE (RE23ENC4 PRESC RIBED !"m#/! "ml BN( $ !"m#/hour STREN"T5 PRESCRIB ED !" m# BN( !"$ " m# CA!C3!ATED DOSE6DA4 PRESCRIB BN( ED !/% !/& !"$ !"m#/day "m#/d ay

TAB.TE"RA! &''mg(#h$or1henamine ma$eate) BN( RECOMMENDED DOSE (RE23ENC4 PRESCR BN( IBED 'wice 'wice a a day day STREN"T5 PRESCRIB ED ""m# BN( ""m# CA!C3!ATED DOSE6DA4 PRESCRIB BN( ED ""m# ""m #

Tab. (AMOT ((amoiti)ine *' mg) BN( RECOMMENDED DOSE (RE23ENC4 PRESCRI BN( BED (nce a (nce day day STREN"T5 PRESCRIB ED a )"m# BN( )"m# CA!C3!ATED DOSE6DA4 PRESCRIB BN( ED )"m# )"m#

CONCLUSION
DRUG CELITIS INJ INTERACTIO NS *lotri+a@ol% -o%s ,ot ha.% a,y si1,i0ica,t i,t%ractio,s with th% -r/1s list%- 3/t local irritatio, ca, occ/r& W% coa-+ist%r 2a+ot<0a+oti-i,%> & No si1,i0ica,t -r/1 i,t%ractio,s s%%, with th% -r/1s pr%scri3%-& No si1,i0ica,t i,t%ractio,s s%%, ADRS Hypot%,sio,: r%0l%A tachycar-ia a,palpitatio, +ay occ/r& Rar%ly s%.%r% 3ra-ycar-ia& Thro33i,1 h%a-ach% is B/it% co++o,& MONITORING Th% pati%,t sho/lta=% his +%-icatio, r%1/larly& Sho/l- ,ot +iss a,y -os%&

T !"TEGRAL

!astroi,t%sti,al /lc%rs:sto+ach 3l%%-i,1 a,- ti,,it/s& *o,stipatio,: -iarrh%a: It +as= th% sy+pto+s -i@@i,%ss: h%a-ach% o0 1astric ca,c%r i, +i--l% a1%- or ol-%r pati%,ts so car% sho/l3% ta=%,&

T !"F mo# $% mo#&d&ne'