30 yr old female with uncontrolled sugars


A 30 yr old female patient sweeper in a fertiliser company by occupation brought to casualilty with fever and vomitings and hypersalivation. She had low grade, intermittent fever which relieves on medication not associated with chills and rigors.

HOPI: She had 5 episodes of vomitings for 2 days which contained food particles, non projectile and non foul smelling. She needed support for walking.

Fever since 3 days, vomitings 5 episodes(12th & 13th June 2022), unable to walk since 2 days

Negative history: no history of shortness of breath, cough, loose stools


Past illness- known hypertensive since 2 years (using medication)

NOT a known case of DM, asthma, tuberculosis, diabetes, asthma, epilepsy, CAD


Personal History: Mixed diet

Bowel And Bladder-Regular 

 Sleep Adequate 

No Allergies And Addictions.


Family History: not significant 


General Examination: 

Patient is Conscious, 

Moderately Built and Nourished.

Pallor Absent

Icterus Absent

Clubbing Absent

Cyanosis Absent

Lymphadenopathy Absent

Edema Absent 


Vitals : 

Temperature - afebrile 

Pulse:  114/min

B.P: 140/80mmHg

SpO2: 98% on RA

GRBS: high


Systemic examination:


ABDOMEN: Palpable liver, no tenderness, distended abdomen.





Lab diagnosis:






Treatment history:

13/6/22

*IVF NS@100ml 

*Inj Monocef@1 gm x IV x BD

*Inj Human Actrapid (1ml+39ml NS)@6ml/hr


14/6/22

*IVF 20NS@100ml/hr

D-1 *Injection monocef 2gm×IV×BD

*Injection human actrapid insulin

                  1ml +39ml NS @ 6ml/hr

*Injection zofer 4mg IV  BD

*Injection pan 40mg IV BD

*GRBS 1hourly

*Monitor vitals hourly




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