Department of Medicine

Unit 4|Med Icu|Icu7

Consultant Dr : S P Kalantri

OPD Days: [Thu, Sat]

Residents: Dr Nitin

CR No

: 201308003402

Name

: Kalpana Dipak Kohpare

Age/Sex : 22 Yr/Female

Father/Husband

Phone No : 9673366520

Address

: Berdi Gondpipri Chandrapur

Admission
Date/Time

: 01-Aug-2013/06:34 PM

Discharge
Date/Time

: 19-Aug-2013 / 11:16
AM

Death Date

: 19-Aug-2013

DIAGNOSIS
Sepsis
Stroke - Infarct
Post partum

MRD No : 20130835230 Category : General

Death
Time

: 01:30 AM

CASE SUMMARY

INVESTIGATIONS Biochemistry
02/08/13
09:58 AM
Glucose Random
(mg/dL)

121

02/08/13 03/08/13 08/08/13

09:58 AM 10:18 AM 11:30 AM
Urea
(mg/dl)

94

134

77

02/08/13 03/08/13 04/08/13 05/08/13 06/08/13 08/08/13 09/08/13

09:58 AM 10:18 AM 11:14 PM 10:06 AM 11:00 PM 11:30 AM 11:02 PM
Creatinine
(mg/dl)

2.8

3.5

2.2

1.9

1.1

1.9

1.7

01/08/13 02/08/13 03/08/13 04/08/13

06:43 PM 09:58 AM 10:18 AM 11:14 PM
Sodium
(mEq/L)

138

139

135

144

01/08/13 02/08/13 03/08/13 04/08/13 08/08/13

06:43 PM 09:58 AM 10:18 AM 11:14 PM 11:30 AM
Potassium
(mEq/L)

5.2

4.1

5.1

5.1

4.4

04/08/13
12:19 PM
Serum L D H
(U / L)

Liver Panel

1,790

Protein Albumin Globulin Bilirubin(T) Bilirubin(C) ALT

AST

Alk

phosphatase
01/08/13 06:43
PM

6.7

3.16

3.54

2.9

286

448

309

02/08/13 09:58
AM

4.96

2.73

2.23

2.2

189

268

253

03/08/13 10:18
AM

4.32

2.25

2.07

.4

126

150

172

08/08/13 11:30
AM

4.74

2.22

2.52

.74

.44

93

132

81

Renal Panel

Urea

Creatinine

01/08/13 06:43 PM 82

A B G (Blood Gas
Analysis)

2.7

pH pCO2 HCO3 Na

Cl

Ca AG PaO2 SaO2 CaO2 AAO2 Hb

HCT

BEB

08/08/13 09:31 AM 7.48 21.4 15.9 153.9 2.92 126.5 -

13.7 164 99.6 13.3 -

9.2 18 -6.5

08/08/13 11:20 PM 7.43 24.7 16.4 156.5 3.22 131.2 -

11.3 142 99.3 10.1 446

14 -7.3

09/08/13 12:22 PM 7.4 27.2 16.8 150.5 2.65 122.3 -

13.2 27

52

627

14 -7.2

09/08/13 11:02 PM 7.33 25.3 13.3 131.5 2.66 92.3 -

27.8 31

56.6 8

82

10 14

10/08/13 05:19 PM 7.39 29.8 18

157 3.31 131.1 .

10.3 50

85.3 11.2 594

9.3 14 -6.3

11/08/13 11:06 AM 7.37 31.8 18.6 148.8 3.14 119.3 -

13 43

78.1 9.9

11/08/13 11:56 PM 7.44 25.6 17.3 144.2 2.63 111.9 -

16.8 155 99.5 13.2 -

Microbiology
05/08/13 10:18 AM
Gram Staining
Sample

Aspirate

Gram Staining
Remark

Culture report to follow

6.6

607

11.4

12 -6.1

9.2 15 -6

Gram Staining

Pus cell a few Gram positive cocci Gram positive bacilli seen

08/08/13 10:57 AM
Gram Staining
Sample

Vaginal Swab

Gram Staining

Epithelial cell seen. Pus cell seen. Gram negative cocci seen. Gram negative
bacilli seen.

10/08/13 11:23 AM
Gram Staining
Sample

Tracheal Swab

Gram Staining
Remark

Culture report to follow

Gram Staining

Pus cell seen Gram positve Cocci in pairs scattered Gram negative bacilli short
thick seen

02/08/13 09:58 AM
VDRL
Sample

Blood

VDRL

Non-Reactive

05/08/13 10:06 AM
Aerobic C & S
Sample

Blood

Staining

Remark

No growth after 7 days of Incubation

05/08/13 10:18 AM
Aerobic C & S

Sample

Aspirate

Wet Mount

Pus Cells : Absent ;Red Blood Cells : Absent

Staining

Pus cell a few Gram positive cocci Gram positive bacilli seen

Remark

Growth of multiple organisms

08/08/13 10:57 AM
Aerobic C & S
Sample

Vaginal Swab

Organism

Escherichia Coli

Antibiotic
Sensitivity

Gentamicin, Amikacin,

Organism

Escherichia Coli

Antibiotic
Sensitivity

Amikacin, Gentamicin,

Staining

Epithelial cell seen. Pus cell seen. Gram negative cocci seen. Gram negative
bacilli seen.

Remark

Heavy growth of Two strains of Escherichia coli.

10/08/13 11:23 AM
Aerobic C & S
Sample

Tracheal Swab

Staining

Pus cell seen Gram positve Cocci in pairs scattered Gram negative bacilli short
thick seen

Remark

Growth of multiple organisms

Radiology
08/08/13 09:45 AM

X-Ray Chest P A
Film No.

181620130031285

X-Ray Chest P A

No obvious abnormality Endotracheal tube and RT insitu

08/08/13 11:30 AM
X-Ray Chest P A
Film No.

181620130031407

X-Ray Chest P A

No obvious abnormality Endotracheal tube and RT insitu

Pathology
05/08/13 10:06 AM
Indirect Coombs Test
Indirect Coombs
Test

Negative

05/08/13 10:06 AM
H B Electrophoresis Qualitative
Electrophoresis

AS

Sickling

Positive

Remark - Hb
Electrophoresis

05/08/13 10:06 AM
Reticulocyte Count
Reticulocyte Count 8.4 %

05/08/13 10:06 AM

Direct Coombs
Direct Coombs Test Negative

02/08/13 09:58 AM
H B S Ag
H Bs Ag

Negative

06/08/13 11:30 AM
Prothrombin Time
Patient (Seconds)

17.2

Control (Seconds) 12.5

INR

1.42

01/08/13 06:43 PM
Blood Grouping A B O & Rh
A B O & Rh
Grouping

B Rh+

02/08/13 09:58 AM
Blood Grouping A B O & Rh
A B O & Rh
Grouping

B Rh+

Haematologic test results

Date

Hb

RBC

WBC

PLT

PCV

MCV

RDW

LY%

Mid% GR%

01/08/13 09:08 PM 14

6.9 +

31.4WL*235PL* 48

69.6 - 40.7

16.7WL*7.2WL* 76.1WL*

02/08/13 02:51 PM 13.2

5.71

25.9

110

40.3

70.6

21.4

11.7

2.3

86

03/08/13 12:54 PM 9.4

4.14

29.2

168

29.3

70.9

21.2

12.9

1.6

85.5

05/08/13 03:22 PM 8.8

4.09

14

186

30.1

73.4

23.6

16.8

2.5

80.7

08/08/13 03:12 PM 6.5

3.04

15.6

198

22.9

75.4

25.1

13.3

4.1

82.6

12/08/13 02:30 PM 6.5

2.85

13.3

509

22.1

77.5

25.3

11.4

1.5

87.1

17/08/13 07:12 PM 4.6

2.01

4.8

78

18.5

92

24.9

31.4

6.3

62.3

Peripheral Smear
01/08/13 09:57 PM CBC
02/08/13 02:14 PM

Microcytic hypochromic RBCs. WBCs show marked neutrophil leucocytosis with

shift to left. Platelets reduced.

Predominantly microcytic hypochromic RBCs with presence of large number of

03/08/13 12:20 PM nucleated RBCs and polychromatic cells. WBCs show neutrophil leucocytosis.
Platelets adequate. Kindly investigate for cause of hemolysis.
05/08/13 03:32 PM CBC
Predominantly microcytic hypochromic RBCs with reduction in total RBC count.
08/08/13 03:08 PM PS also shows occasional nucleated red cells. WBCs show neutrophil
leucocytosis. Platelets adequate.
12/08/13 02:32 PM

Normocytic hypochromic RBCs. WBCs show neutrophil leucocytosis. Platelets

increased.

17/08/13 07:49 PM CBC

Lecturer

Resident

Hospital emergency services are open 24 hours a day. In case of emergency, you may come to
hospital at any time.
Otherwise, you may meet your doctor in the OPD on the days specified above.
OPD is open from 8:00 am to 1:00 pm from Monday to Saturday (Except holidays).
You may contact the hospital at phone number: 07152-284341 to 284355.

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