CENSUS, MORTALITY AND MORBIDITY FOR

THE MONTH OF JANUARY, 2022.

- Dr. Anjana Paudyal
 OPD CENSUS
1600
1444
1400
1268
1189
1200 1097
1047
1000
800
600
400
200
0
Sept, 2021 Oct,2021 Nov, 2021 Dec, 2021 Jan, 2022
 GENERAL WARD CENSUS
160 150
139
140 132

120 115

100
80 77

60
40
20
0
SEP,2021 OCT,2021 NOV, 2021 Dec, 2021 JAN, 2022
 CASES IN WARD JAN, 2022 DEC, 2021
Cases in ward
CAP 11 25
Acute Exacerbation Of COPD 20 21
Diabetes Mellitus 4 5
Hypertensive Urgency 7 3
Poisoning cases : OP and other 3 7
poisoning
APD 4 5
Hypoglycemia 2 4
Acute Pancreatitis 3 1
Ricketssial fever 2 6
AF 2 0
DVT 1 0
 CASES IN WARD JAN, 2022 DEC,
2021
Anemia : IDA/blood loss 1 5
ALD/Cirrhosis of Liver/AWS 5 8
CHF 1 4
B. Asthma 2 3
Ischemic Stroke 1 3
UTI 3 0
Nephritic Syndrome 1 0
GAD 1 0
BPPV 1 0
 ICU CENSUS
40
36
35 33
31 32
30 28
25

20

15

10

0
Sep,2021 Oct, 2021 Nov, 2021 Dec, 2021 Jan, 2022
 CASES IN ICU JAN ,
2022
POISONING AND DRUG OVERDOSE 12
AE OF COPD WITH CAP 8
4
ACUTE PANCREATITIS
DKA 4
HIGH RISK CAP 2

SEPTIC SHOCK 1

HTN URGENCY 1

1
STROKE
 MORTALITY
S.No: AGE/SEX DOA EXPIRED CAUSE OF DEATH
ON:

1. 52Y/F 10/01 11/01 OP COMPOUND POISONING WITH

ASPIRATION PNEUMONIA
2. 51Y/M 17/01 19/01 DKA WITH SEPTIC SHOCK SECONDARY TO
CAP WITH TYPE 2 DM
3. 76Y/F 18/01 20/01 AE OF COPD WITH TYPE 2 RF SECONDARY
TO CAP WITH COR PULMONALE WITH
ELECTROLYTE IMBALANCE WITH VHD
WITH HTN WITH TYPE 2 DM

4. 62Y/F 24/01 25/01 OP COMPOUND POISONING

5. 85Y/M 22/01 26/01 SEPTIC SHOCK WITH AE OF COPD

SECONDARY TO COVID PNEUMONIA WITH
CHRONIC PULMONARY
THROMBOEMBOLISM WITH POST TB
FIBROSIS WITH AKI
 FEVER CLINIC

Total no. of cases: 315

Total Admission: 49
Intermediate ward admission: 39
Isolation admission:9
ICU:1
 INTERMEDIATE WARD CENSUS
Total no. of cases: 78
POSITIVE RT PCR for SARS CoV2: 22
COVID ISOLATION: 20
MEDICAL WARD: 56
DOPR: 1
LAMA: 1
REFERRAL: 0
COVID ISOLATION CENSUS

Total number of case : 31

No. of mortality : 1
COVID ICU REFERRAL:
2
 CASE PRESENTATION
25 Y/M, NO CO-MORBID CONDITION, PRESENTED WITH COMPLAINTS
OF:

1. PRODUCTIVE COUGH WITH YELLOWISH SPUTUM X 2 MONTHS.

2. GENERALISED BODY SWELLING.

3. RASHES OVER TRUNK.

- NO FEVER, CHEST PAIN, DOB, JOINT PAIN, SENSITIVITY TO LIGHT, RED

URINE, ABDOMINAL PAIN, DRUG INTAKE
 PHYSICAL EXAMINATION:
GC – ILL LOOKING
VITALS: BP- 110/70, PR- 130, TEMP- 98.5 F,
RR- 24 SPO2: 90% IN RA.

MULTIPLE PETECHIAL RASHES OVER TRUNK;

HYPERKERATOTIC PLAQUES OVER HANDS AND FEET
GRADE 3 EDEMA

CHEST – BIBASAL CREPTS +

HEART - S1S2M0
ABDOMEN - SOFT, NON TENDER
NEUROLOGICAL - INTACT
 INVESTIGATIONS
LFT RFT CBC OTHERS

AST- 85 UREA – 12.7 WBC – 7900(N77/L16) PT/INR: 13.1/1.1

ALT- 19 BUN – 5.9 RBC – 3.1 ANA: NR
ALP – 153 Crea. – 0.5 HB – 10.4 SCRUB TYPHUS: NR
TB – 0.3 Na: 135 HCT – 28.3 BRUCELLA: NR
DB – 0.2 K – 4.4 PLT - 387000 LEPTOSPIRA: NR
ALBUMIN – 1.4 CL - 88 TPHA: Negative
T PROTEIN – 4.7 VDRL: NR
CRP: Reactive
LDH: 844
Stool for OB: Negative
TSH: 5.25
RT-PCR for SARS COV-2: Positive
 DIAGNOSIS:

1. COVID PNEUMONIA.

2. CUTANEOUS SMALL VESSEL VASCULITIS.

 MANAGEMENT
HIGH PROTEIN DIET
ANTIBIOTICS (CEFTRIAXONE &
AZITHROMYCIN)
DEXAMETHASONE
HUMAN ALBUMIN
LMWH
TOPICAL OINTMENTS
PATIENT WAS SENT HOME IMPROVED ON 6TH DOA WITH DECREASED
BODY SWELLING AND FADING LESIONS OVER TRUNK, HANDS &
FEET.

ON FOLLOWUP AFTER 1 WEEK THERE WAS NO SWELLING AND

ONLY POST INFLAMMATORY HYPERPIGMENTATION WERE PRESENT.