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Accidental fall during the walking

H/O: Pain & swelling (+)

O/E : Small laceration (+) in the occipital region

Alcoholic smell (+)


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℞ C&D done
Under Aseptic precautions, LA suturing is done by using
3-0 Ethilon (4sutures)

Tab.Moxymax-CV 625mg (6) 1 – 0 -1

Tab. Aldigesic-P (9) 1 – 1- 1

Tab.Cipzen forte (6) 1 – 0 -1

Tab.Okacet 10mg (3) 0–0-1

Cap.Maxxopen-DSR (6) 1-0-1 (BF)

Oint.Povimax-AM (1) Tube Ext.Apply only

Advice:

CT BRAIN
Alternate Day C &D
Inj. T.T 1 amp Im
Inj. Fenak 1 amp Im
C/o Accidental injury hit by Autorikshaw around 6.50 pm
near Ponniamman koil crossing
H/o Pain & bleeding (+)
O/E :
Patient conscious, oriented, afebrile
1) Laceration of size 7cm * 1.cm * 1cm present in the
temporal region
2) Laceration of size 6cm *1cm *0.5cm presentin the left
temporal region
3) small laceration over the left eyelid
C&D
Under aseptic precautions ,↓ LA 3-0 Ethicon 15 suture’s
done in the frontal region, 14 sutures in the left temporal
region and one suture above the left eyelid

---------------------------------------------------

Tab. Novamentin625mg (6) 1 – 0 -1

Tab. Aldigesic-SP (9) 1–1–1


Tab.Cipzen forte (6) 1–0-1

Tab.Okacet (3) 0–0-1

Cap. Multirich (5) 0–0-1

Tab.Pantosec DSR 40mg (6) 1-0-1 (BF)

Oint. Povidone -AM (1) tube Ext. Application

Advice:

Alternate Day C &D


CT brain
Inj. T.T 1 amp Im
Inj . Dynapar 1 amp Im
∆: Cut injury in the Left middle finger

C/o cut injury over the left middle finger

H/o bleeding (+)

O/E : Laceration of size ( 3 * 0.5*0.5 ) present over the left


middle finger & tendon exposed
Under aseptic precautions ,↓ LA 3-0 Ethicon is used for
sutuuring

----------------------------------------------

℞ C&D done

Tab.Moxymax-CV 625mg (6) 1 – 0 -1

Tab. Fenak plus (9) 1 – 1- 1

Tab.Cipzen forte (6) 1 – 0 -1

Tab.Okacet 10mg (3) 0–0-1

Cap.Maxxopen-DSR (6) 1-0-1 (BF)

Oint.Povimax-AM (1) Tube Ext.Apply only

Advice:

Alternate Day C &D


∆ RTA
---------------------------------------------------- C&D

Tab.Moxmox625mg (6) 1–0–1

Tab. Fenak Plus (9) 1–1–1


Tab.Cipzen Forte (6) 1–0–1
Cap.Multirich (5) 0–0–1
Tab. Okacet10mg (3) 0–0–1

Cap. Pantosec-DSR (6) 1 – 0 – 1 (BF)

Oint. Povidone -AM (1) tube Ext. Apply Only

Advice:
Inj. T.T 1 amp Im
Inj . Dynapar 1 amp Im
Alt. day C&D
K/C/Of wrok site injury

C/O:Deep cut Injury over the Right side Middle & Ring
Finger(+)
H/o: Pain & Bleeding(+) C&D
--------------------------------------------------------------------

Under aseptic precautions ,↓ LA 3-0 Ethicon 57 suture’s


done

Tab.Moxymox-CV 625mg (10) 1 – 0 -1

Tab. Fenak Plus (15) 1–1–1

Tab. Cipzen Forte (10) 1–0–1

Tab.Okacet (5) 0–0-1

Cap. Multirich (5) 0–0-1

Cap. Maxxomax-DSR (10) 1-0-1 (BF)

Advice:
Inj. T.T 1 amp IM
Alternate Day C &D
8th day S/R
Inj. Dynapar amp Im
∆ : RTA

C/O:Deep cut injury over the Upper Lip & Chin

Under Aseptic precautions, LA suturing is done by using 3-0


Ethilon (5 sutures)

-------------------------------------------------------------------- C&D

Tab. Novamentin 625mg (6) 1- 0 – 1

Tab. Fenak Plus (9) 1–1–1


Tab. Cipzen Forte (6) 1–0–1
Tab. Okacet10mg (3) 0–0–1

Tab. Multirich (5) 0–0–1

Cap. Pantosec DSR (6) 1 – 0 – 1 (BF)

Oint. Providine-AM (1) tube Ext. Apply Only

Advice:

Alt day C& D

8th day S/R

Inj. T.T 1 amp Im


Inj. Dynapar 1 amp IM

C/o bleeding from the mouth (+)

H/o injury over the hard palate while eating

--------------------------------------- C&D

Tab. Amox - LB (6) 1- 0 – 1

Tab. Aldigesic-sp (9) 1–1–1


Cap.Multirich (5) 0–0–1

Tab. Okacet10mg (3) 0–0–1

Tab. Rabesec DSR (6) 1 – 0 – 1 (BF)

Oint. Providine-Am (1) Tube Ext. Apply only

Advice:
Alt day C&D

H/o Accidental fall from two wheeler 7.00pm near Siruseri


(SIPCOT)
H/o swelling & pain around the elbow joint

Under local anesthesia chromic material ( 4 sutures) is used to


close the inner layer and Skin closure done by using 3- ethicon ( 9
sutures).

Tab. Novamentin 625mg (6) 1- 0 – 1

Tab. Fenak Plus (9) 1–1–1


Tab. Cipzen Forte (6) 1–0–1
Tab. Okacet10mg (3) 0–0–1

Cap. Pantosec DSR (6) 1 – 0 – 1 (BF)

Providone ointment (1) tube

C/O: Lt Elbow Joint pain (+)

Cold,cough (+)

H/O: Chronic Alcoholic / Smoking (+)

----------------------------------------------

Tab. Novamentin625mg (6) 1-0-1

Tab. Fenak Plus (9) 1–1–1

Tab. Okacet10mg (3) 0–0–1


Cap. Multirich (5) 0–0–1

Cap.Pantose-DSR (6) 1-0-1 (BF)

Oint. Voligesic Plus (1) Tube Ext. Apply only

Syp. Biochemdryle (1) Bottle 10ml – 10ml – 10ml

C /o Injury over the Frontal Region & upper lip


H/o bleeding (+++)
O/E: Deep laceration over the upper lip

-----------------------------------------------------------

Under aseptic precautions ,↓ LA 3-0 Ethicon 32suturing done

Tab. Novamentin625mg (10) 1 – 0 -1

Tab. Fenak Plus (15) 1–1–1


Tab. Cipzen Forte (10) 1–0–1

Tab.Okacet (6) 0–0-1

Cap. Multirich (10) 0–0-1

Cap.Pantose-DSR (10) 1-0-1 (BF)

Advice:

Alternate Day C &D


8th day S/R\
Inj. T.T 1 amp Im Not Given
Inj. Dynapar 1 amp Im
CT Brain

∆: Cut injury over the Rt foot


H/O bleeding (+) C&D
O/E : Deep laceration present in the lower Rt great toe(+)
Under aseptic precautions ,↓ LA 3-0 Ethicon 3 suturing done (+)

----------------------------------------------------------------------------

Tab. Novamentin625mg (6) 1-0-1

Tab. Aldigesic – SP (9) 1–1–1

Cap. Multirich (5) 0–0-1

Cap.Pantose-DSR (6) 1-0-1 (BF)

Advice:

Alternate Day C &D


8th day S/R\
Inj. T.T 1 amp Im
Inj. Dynapar 1 amp Im
C/O Pain over the Rt foot (+)
H/o Lower lips injury (+)
------------------------------------------ C&D

Tab. Dooclav 375 (6) 1-0-1

Tab. Aldigesic-P (6) 1 – 0- 1

Tab.Zindac 150m (3) ½ -0- ½ (BF)

Oint. Thio viswadol gel (1) Tube Ext.Apply only

Oint. Povimac AM (1) Tube Ext.Apply only


Advice:

Inj. T.T 1 amp IM


X-ray Rt foot AP/Lat.View

C/o:Rt Ear Pain (+)


--------------------------------------------

Tab. Cefxim-O (6) 1-0-1

Tab. Fenak Plus (9) 1-1-1

Tab. Cipzen forte (6) 1–0-1

Cap. Multirich (5) 0-0-1

Tab. Okacet10mg (3) 0–0-1


Cap.Pantosec DSR (6) 1-0-1 (BF)

Drops. Otabid (1) Bottle 4 – 4 – 4 (Drops)


C/O: Alleged H/O fall on his own under the injury
of alcohol at is residence on 05/05/2019 at 11:00pm

Patient had taken treatment & all investication done by


out side hospital

Now patient came for suturing area Pain & Back pain (+)
C/o swelling present in the Right index finger for past 1

Month.

H/o pain

Diagnosis: Right index finger abscess

_________________________________________________

Under aseptic precautions ,↓ LA Incision and drainage is done and


pus is drained from the wound

Tab. Novamentin625mg (10) 1 – 0 -1

Tab. Fenak Plus (15) 1–1–1

Tab. Cipzen Forte (10) 1–0–1

Tab.Okacet (6) 0–0-1

Cap. Multirich (10) 0–0-1

Cap.Pantose-DSR (10) 1-0-1 (BF)

Advice:

Alternate Day C &D


Inj. T.T 1 amp Im Given
Inj. Dynapar 1 amp Im
C/o : General Weakness (+)

Loss of Appetites (+)

Vomiting (+)

Body Pain (+)

Tab. Aldigesic – P (6) 1–0–1

Cap. Mecofol Plus (10) 0–0–1

Cap. Pantosec DSR (6) 1 – 0 – 1 (BF)


Syp. Lupizyme (1) Bottle 2 tsp – 2tsp – 2tsp (BF)

ORS (1) Pocket

Advice:

Admission Master

Health checkup

∆ RA

Tab. Novamentin625mg (6) 1–0–1

Tab. HCQS (30) 1–0–1

Tab. Wysoline5mg (30) 1–0–1

Tab. Fenak Plus (10) 1–0–1

Tap.Copcal 500mg (15) 0–1–0


Cap. Multirich (10) 0–0–1

C/O Cut injury over Rt the Index finger (+)

-------------------------------------------------------

℞ C&D

Cap. Amyclox-LB (4) 1 -0 – 1


Tab.Aldigesic SP (6) 1-1-1

Tab. Okacet10mg (2) 0-0-1

Tab. Pantosec 40mg (4) 1- 0 - 1 (BF)

Oint. Providine – AM (1) Tube Ext. Apply Only

Advice:

Inj. T. T 1 amp IM

Inj. Dynapar 1 amp IM

∆ Folliculitis C &D

-------------------------------
C/O: Lt Ear Pain with Wax (+) C&D

Tab. Novamentin 625mg (6) 1-0-1

Tab. Okacet 10mg (3) 0-0-1

Tab. Combiflam (9) 1 – 1- 1

Cap.Pantosec DSR (6) 1-0-1 (BF)

Drops. Festive-D (1) Bottle 4 – 4 – 4 (Drops)

C/O: Deep Cut Injury over forehead (+)

Bleeding (++)
O/E Alcohol breath smell present

A septic precautions, ↓ LA wound closuring done


by 3-0 Ethilon ( sutures )
_______________________________________________________

Tab. Novamentin 625mg (6) 1- 0 – 1
Tab. Aldigesic – SP (9) 1–1–1

Tab. Okacet10mg (3) 0–0–1

Cap. Multirich (5) 0–0–1

Cap. Pantosec DSR (6) 1 – 0 – 1 (BF)

Inj.T.T 1 amp IM

Inj. Dynapar 1 amp IM

Advice:
Alt Day C&D
8th day S/ R
K/C/OfT2 DM

C/O: Abscess over the Rt Shoulder (+)

H/O: Pain

--------------------------------------------------- C &D

Tab. Novamentin 625mg (6) 1- 0 - 1

Tab. Okacet 10mg (3) 0–0-1

Tab. Fenak Plus (9) 1 – 1- 1

Tab. Cipzen Forte (6) 1–0–1

Cap. Multirich (5) 0–0–1

Cap.Pantosec DSR (6) 1-0-1 (BF)

Oint. Providine-AM (1) Tube Ext. Apply Only

Inj. T.T 1 amp IM

Inj. Dynapar 1 amp IM


∆ Injury of Rt Thumb C &D

------------------------------------------- Nail Removed

Tab. Novamentin 625mg (6) 1-0-1

Tab. Okacet 10mg (3) 0-0-1

Tab. Fenak Plus (9) 1 – 1- 1

Tab. Cipzen Forte (6) 1–0-1

Cap.Pantosec DSR (6) 1-0-1 (BF)


∆ K/C/ Of Assault

An Assault done by using wood opposite to sathyabama university around 6.30 pm on


03/09/2019

Injuries: 1) A Laceration of size 4cm x 1cm present over the left palmar region ( In
between Lt thumb & index finger, 7 suturing done )

2) A Laceration of size 4 cm x 1 cm present over the Parietal region( 8 suturing


done)

Patient Consumed Alcoholic

----------------------------------------------------------------------------------------------------------------

↓ A septic precaution & LA suturing was done by using 3-0 Ethicon (15 Sutures)

C&D

Tab. Novamentin 625mg (6) 1- 0 – 1

Tab. Aldigesic-SP (9) 1–1–1

Tab. Multirich (5) 0–0–1

Cap. Pantosec DSR (6) 1 – 0 – 1 (BF)

Advice:

CT Brain
Alt day C& D

Inj. T.T 1 amp Im

Inj. Dynapar 1 amp IM

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