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LEPTOSPIROSIS
MIGUEL, JOSE SOFRONIO
MARTIN, JOVINE
MIGUEL, KENNETH
MORAL, JOE FELIX
RAJASUNDAR, RAGU
RAMACHANDRAN, INDUJA
RAJAN, RAHUL
MENDOZA, KIMBERLY
RAJENDRAN, JAYA
OBGYN history
G1P1 (1001) 3 day cycle, moderate flow (1-2 pads)
LMP : October 28, 2019 Not in birth control
SOCIAL HISTORY
Married for 12 years, with 1 son (10 years old)
Been staying at current residence for 11 years, no known leptospirosis
case in the neighborhood, not flood prone area; patient had no history of
waddling in flood
High School graduate; housewife, part-time manicurist
D E PNonsmoker,
A R T M E N T Non-
O F Ealcoholic
M E R G E Nbeverage
C Y M E Ddrinker,
I C I N E Denies illicit drug use
FAMILY HISTORY
(+) Hypertension – Paternal side
(+) headache
(+) chills
(-) jaundice
DEPARTMENT OF EMERGENCY MEDICINE
PHYSICAL EXAMINATION
SKIN : Dry, no rashes , warm to touch, normal skin turgor.
HEENT:
EYES: Symmetrical, Anicteric sclerae, (+) conjunctival suffusion , pupils are equally reactive to
light, normal consensual reaction
MOUTH AND THROAT: No mouth sores, no bleeding gums , tongue is pinkish white and no
deviations, tonsil inflammations and uvula is in the midline
DEPARTMENT OF EMERGENCY MEDICINE
PHYSICAL EXAMINATION
NECK: No tenderness, no palpable lymph nodes, trachea is in the midline.
TX;
PNSS 1L + 20megs KCl
Pen G 1.5 MU Iv q6
Methylprednisolone 1g Iv OD
Paracetamol 300mg Iv q4
Omeprazole 40mg Iv OD
TX;
PNSS 1L + 40megs KCl
Metochlopromide 10mg Iv q8
Pen G 1.5 MU Iv q6
Methylprednisolone 1g Iv OD
Paracetamol 300mg Iv q4
Omeprazole 40mg Iv OD
TX;
PNSS 1L + 40megs KCl
Calcium Gluconate on 250cc D5W
Pen G 1.5 MU Iv q6
Methylprednisolone 1g Iv OD
Paracetamol 300mg Iv q4
Omeprazole 40mg Iv OD
B. INDIRECT METHOD
1. Microagglutination Test (MAT) - a four-fold rise of the titer from
acute to convalescent sera is confirmatory of the diagnosis