Clinical cases
Six clinical cases with explanation
,Case 1
Personal Information
Demographics
Patient name: XYZ D/o: XYZ Gender: female
Address: ABC
Presenting Chief Complaints:
Chest Pain since night 9:00
History of Present Illness:
With above complaints patients was admitted to CCU with diagnosis of (NSTEMI).
Family history: N/A
Past Medical History:
Old IHD
HTN/DM
surgical
History of Allergies: N/A
Social History (Soc. Hx): N/A
Smoking pack years: N/A
Diagnosis/Assessment:
(NSTEMI).
General physical examination
Anemia: Negative
,Jaundice Negative
Cyanosis Negative
Oedema: Negative
Systemic examination
R.S
Bilateral chest clear
C.V.S
S1+S2+o
C.N.S
oriented
G.I.T
Non tender
Treatment regimen
S No Medicine Dose investigation
1 Oral ACS protocol Stat given ALL, BLI’S
2 Tab PLATRID 75/75 1×OD Trop-I positive
3 Tab ROSWIN 10mg 1×HS Instructions
4 Tab CARVEDA 3.125mg 1×BD Vitals
5 Tab LASIX 40mg P/o 1×BD Monitoring
6 INJ HEPARIN 1200U i/v at 25ml/Hr Diagnosis
continuous
7 Tab DIAGESIC P 1×BD NSTEMI with
AFIB
, 8 Tab SUSTAC 26mg 1×BD
Special chemistry report
Name: XYZ
Gender: female
Address: ABC
Test Result(s) UNITS Reference value
Specimen serum 2.94ng/ml >0.04
Troponin-I
Chemical pathology
Test Result Reference range
Troponin -I 1.37 (positive) Less than 0.16 negative
More than 0.16 positive
Case analysis and discussion
Number of drugs
8
Drug interactions
Six clinical cases with explanation
,Case 1
Personal Information
Demographics
Patient name: XYZ D/o: XYZ Gender: female
Address: ABC
Presenting Chief Complaints:
Chest Pain since night 9:00
History of Present Illness:
With above complaints patients was admitted to CCU with diagnosis of (NSTEMI).
Family history: N/A
Past Medical History:
Old IHD
HTN/DM
surgical
History of Allergies: N/A
Social History (Soc. Hx): N/A
Smoking pack years: N/A
Diagnosis/Assessment:
(NSTEMI).
General physical examination
Anemia: Negative
,Jaundice Negative
Cyanosis Negative
Oedema: Negative
Systemic examination
R.S
Bilateral chest clear
C.V.S
S1+S2+o
C.N.S
oriented
G.I.T
Non tender
Treatment regimen
S No Medicine Dose investigation
1 Oral ACS protocol Stat given ALL, BLI’S
2 Tab PLATRID 75/75 1×OD Trop-I positive
3 Tab ROSWIN 10mg 1×HS Instructions
4 Tab CARVEDA 3.125mg 1×BD Vitals
5 Tab LASIX 40mg P/o 1×BD Monitoring
6 INJ HEPARIN 1200U i/v at 25ml/Hr Diagnosis
continuous
7 Tab DIAGESIC P 1×BD NSTEMI with
AFIB
, 8 Tab SUSTAC 26mg 1×BD
Special chemistry report
Name: XYZ
Gender: female
Address: ABC
Test Result(s) UNITS Reference value
Specimen serum 2.94ng/ml >0.04
Troponin-I
Chemical pathology
Test Result Reference range
Troponin -I 1.37 (positive) Less than 0.16 negative
More than 0.16 positive
Case analysis and discussion
Number of drugs
8
Drug interactions