CASE PRESENTATION ON RENAL CALCULI

BY S SAI BALAJI IYER

2ND PHARM.D
PATIENT DEMOGRAPHIC DATA
NAME:XYZ
AGE:20 YEARS
GENDER:MALE
HEIGHT:170 CMS
WEIGHT:52 KG
BMI:18.57 KG/M2
IPID NO.:057375
DOA:17/08/2018
TOA:3:37:47 PM
 
 SYSTEMIC EXAMINATION

Chief Complaints:
Left side flank pain since 1 month bulk.
Difficulty in breathing.
 
History Of Present Illness: Patient had above complaints since 1 month
back and went to a local hospital and was on observation since 1 week,
complication aggravated and came here for further management .
 Past History: Nothing Significant.
Family History: Nothing Significant.
Personal History: Bowel regular.
Allergies: Nil.
Medication History: Nil.
RPI: Nil.
 
 OBJECTIVE EXAMINATION
 

Temperature:98.6F
Pulse:84bpm
Respiratory Rate:20/min
BP:110/70mm hg
PICCLE: Negative
CVS:S1S2+
R.S.:A=31CYCLES equal and clear.
Per Abdomen: Soft BS+
CNS: Conscious Oriented
LAB INVESTIGATION CHART 18/08/2018

BLOOD GROUP:O+
CBC
 Observed values Normal values
Hb/PCV 16.7 13.5-17.5 mg/dl
TLC 9430 4500-11000
cells/microlitre
Neutrophil 67.2% 45-70%
Lymphocyte 26.1% 20-40%
Eosinophil 1.1% 0-6%
Monocyte 5.5% 2-10%
ESR 0.1 mm/hr 0-22 mm/hr
Platelet count 2.9 lakhs/micro ltr 1.5-4.5 lakhs/micro
ltr
Suggestions to the Physician
Drug Interaction
The most significant interactions that heparin has with other
drugs is the increased risk of bleeding. So, the drug that increases
the risk of bleeding here is the aspirin(platelet inhibitor), a
medication that slows down clotting ability of platelets.