Saturday, May 09, 2009

Not-so-interesting Case

Got a case here.

Symptoms:
Fever since 2 days ago. Associated with bad coryza and nose block, cough with yellowish sputum, nausea and few episodes of diarrhea. No rashes. No recent history of travelling/ contact with H1N1 patient.

Examination:
PR: 122 BP Normal Temp: 38.5
Examination no remarkable findings except mildly injected throat.

Investigation:
FBC showed normal white cell count, platelet in good normal range.

Treatment:
Regular paracetamol, increased fluid intake. Already empirically started on broad-spectrum oral antibiotics.

Progress:
Despite the treatment, fever is persistent. Temp still 38 degree Celsius at Day 3. Occasional chills and rigors. Very giddy with bad headache. Otherwise no new signs/ symptoms.

Psychosocial aspect:
Feeling depressed because unable to get MC due to not enough manpower, according to the in-charge. So the patient still had to come to run the clinic from 8am to 1.30pm (65 patients), then finally went back home and collapsed. Then only he was given MC for 1 and half day.

Discussion:
Some said doctors usually can't treat themselves. What's your point of view? Would you suggest the abovementioned patient to go see a doctor or something?

Finally,
Ya the patient is me. I have not much clues why the temp still spiking at Day 3. Hope it doesn't turn into a PUO (pyrexia of unknown origin) or something.
Meanwhile,

Plan
Continue self-treatment as planned for now.
Encourage orally.
Beware of PCM overdose - strictly 1g QID but not more. Ignore the headache.

=)

9 comments:

Michelle Mak said...

try using celebrex instead of PCM ler..
works well for me... dono bout u la.. :P

Darren Lee said...

Mich: Use celebrex as antipyretics? Hmm...anyway how's life? Lots of things happened I guess? hope everythin is fine with you..;)

eelainee said...

according to your symptoms, aren't you supposed to be quarantined already???

sing said...

get your rest and get well soon.. ^^

Michelle Mak said...

yea...
it works lor..
cause celebrex is also kind of anti inflammantory med mah...
hehe...was quite suprise that my kai yeh gave that to me when i had a vr bad URTI...

life ah? so far so good ler...just came back from 3 weeks mc..hehe..and lost abt 5 kg...me likey..hehe

Darren Lee said...

That's why i said, i have no recent history of travelling..><

peanut said...

luckily so far my self treatments are quite successful! agree with eelainee, u need to b quarantined!

confessions of a medical student said...

are you feeling better already... i hope so... i think being a health professional, one thing one cannot afford to do is to fall sick... despite living in a high risk environment... and working when one is sick, pushing oneself to its limits can be a nightmare...

well, if it'll make you feel better, viral URTI is self-limiting... and at least you can be pretty sure it isn't swine flu or dengue fever.. and FBC looks good... you sud be getting better...perhaps you need to get a vacation... runaway to some exotic beach... bali, maybe? i bet after that, you'll feel much better ^^

siti nurbaiya said...

we tend to abuse medications ..haha.. for me what I do, I took both PCM and celebrex!
well, what can i do? i need to work!

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