26 year old male with chief complaints of loose stools since 20 days

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A 26 yr old male who is a resident of suryapet ,daily labourer by occupation came with chief complaints of loose  stools since the past  20 days and generalized weakness since 3 days

Hopi:

 Pt was apparently asymptomatic 2 months ago ,  then he developed bilateral flank pain.  He  also developed loose stools which were insidious in onset with 4-5 episodes per day( 10 days liquid consistency, 10 days hard consistency)  and was suffering from generalized body weakness since 3 months, which was not associated with nausea, vomiting, Fever.

He is a known case of DM since 3 years ( on irregular medication stopped taking insulin 7 months ago)  

Past history:

No h/o of htn, tb, epilepsy

K/c/o of polio

Personal history:

Diet- mixed

Appetite - normal

Bowel and bladder movements-regular

Sleep -adequate

Addictions- chronic alcoholic (90 ml )

Family history - no similar complaints

 Surgical history - appendectomy 10 years ago

  General examination  -patient was conscious, coherent,coperative, well oriented to place person and time

Vitals:

Temperature -afebrile

Bp-110/70 mm hg

PR-89bpm

RR- 18cpm

 Systemic examination:

CVS: S1 S2+

CNS: NAD

Lungs: BAE+ 

GRBS : high at the time of admission into hospital

 Pallor,icterus,cyanosis,clubbing,lymphadenopathy,edema-absent

Fever chart

                                  LFT 

RFT

 URINARY KETONES

HEMOGRAM 

CUE 

GRBS

19/08/22 high

20/08/22

2am: 218mg/dl

7am: 141mg/dl

7:00pm : 384 mg/dl

21/08/2022

12:00 am: 347mg/dl

7am: 88 mg/dl

22/08/22 

12 am-356mg/dl

8 am-96mg/dl

23/08/22

8 am-96 mg/dl

Provisional diagnosis: chronic diarrhea under evaluation 

Plan of treatment:

1.IVF-2× NS @75 ml/hr

          2× RL@75ml/hr

2.INJ.HAI 6U IV STAT

3.GRBS 7 POINT PROFILE          

4.BP/PR/TEMP CHARTING 8th hourly