Microscopic Hypochromic Anaemia Hepatic Amoebiasis

Date: 10/11/24 Date: 10/11/24

Time: 4PM Time: 4PM
Name: Rama Das Age: 36 years Sex: Female Name: Raju Dey Age: 36 years Sex: Male
Religion: Hindu Occupation: Housewife Religion: Hindu Occupation: Driver
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.6 feet Weight: 56 Kg Hospital No: 12678 Height: 5.8 feet Weight: 65 Kg

Probable Diagnois: Microcytic Hypochromic Anaemia Probable Diagnois: Hepatic Amoebiasis

Rx Rx
1. Injection of IRON SUCROSE 100mg/5ml 1. Tablet METRONIDAZOLE 400 mg
Sig. - 5ml in 100 ml NS infusion Sig. - 2 tablets orally twice daily for 7 days

2. Tablet FERROUS FUMARATE 200mg 2. Tablet DILOXANIDE FUROATE 500 mg

Sig. - 1 tab daily after meals for 3 months Sig. - 1 tablet thrice daily after food for 10 days

3. Tab. FOLIC ACID 5mg 3. Tablet CHLOROQUINE 300 mg

Sig. - 1 tab daily after meal for 3 months Sig. - 2 tablets orally after food for 2 days followed by 1 tablet once daily for the next 2 days

Advice: Review after 2 weeks.

Dr. ABC Dr. ABC
MBBS MBBS
Regd. No. - 12345 Regd. No. - 12345
Address: NMCH, Nagaon Address: NMCH, Nagaon
Phone No: 1234567891 Phone No: 1234567891

Anaphylaxis Due to Multiple Bee Bite Exacerbation of Bronchial Asthma

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Ram Das Age: 24 years Sex: Male Name: Puja Borah Age: 22 years Sex: female
Religion: Hindu Occupation: Teacher Religion: Hindu Occupation: Student
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.10 feet Weight: 70 Kg Hospital No: 12678 Height: 5.3 feet Weight: 50 Kg

Probable Diagnois: Anaphylaxis Probable Diagnois: Exacerbation of Bronchial Asthma

Rx Rx
1. Injection of ADRENALINE (1mg/ml, 1:1000) 1. NEBULISATION with SALBUTAMOL, Respule 2.5 mg
Sig. - 0.5 ml IM stat Sig. - Nebulization with 2 respules of salbutamol
- In case no response 0.5 ml to be repeated - To continue nebulization with 1 respule of salbutamol 6 hourly

2. Injection of HYDROCORTISONE SODIUM SUCCINATE 2. INJECTION HYDROCORTISONE SUCCINATE

Sig. - 200 mg IV stat Sig. - 100 mg IV stat
- 100 mg IV 8 hourly - 100 mg IV 8 hourly

Advice: 3. INJECTION AMOXICILLIN CLAVULANIC ACID 1.25 gm

- Hospitalization and observation Sig. - 1 vial IV stat ANST and 12 hourly
- vitals monitoring
- maintain airway, oxygen if required Advice:
- Nebulization with Salbutamol if required Dr. ABC - Hospitalization and observation Dr. ABC
MBBS - vitals monitoring MBBS
Regd. No. - 12345 - maintain airway, oxygen inhalation if required Regd. No. - 12345
Address: NMCH, Nagaon Address: NMCH, Nagaon
Phone No: 1234567891 Phone No: 1234567891

Chronic Asthma COPD

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Raman Das Age: 36 years Sex: male Name: Raman Das Age: 18 years Sex: male
Religion: Hindu Occupation: Daily worker Religion: Hindu Occupation: Student
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 6 feet Weight: 65 Kg Hospital No: 12678 Height: 5.8 feet Weight: 66 Kg

Probable Diagnois: Chronic Asthma Probable Diagnois: COPD

Rx Rx
1. SALBUTAMOL INHALER 100 mcg/Dose 1. SALBUTAMOL INHALER 100 mcg/dose
Sig. - 2 puff 3 times daily Sig. - 2 puff 3 times daily

2. Tablet THEOPHYLLINE 400 mg 2. Tablet THEOPHYLLINE 400 mg

Sig. - 1 tab daily in the evening for 1 months Sig. - 1 tab daily in the evening for 1 months

3. Tablet MONTELUKAST 10mg 3. TIOTROPIUM BROMIDE ROTA CAPS

Sig. - 1 tab daily in the evening for 1 month Sig. - Inhale 1 rota cap once daily with rota inhaler
Advice: Review after 1 month Advice: Review after 1 month
Dr. ABC Dr. ABC
MBBS MBBS
Regd. No. - 12345 Regd. No. - 12345
Address: NMCH, Nagaon Address: NMCH, Nagaon
Phone No: 1234567891 Phone No: 1234567891

Hypothyroidism Thyroid storm

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Rama Das Age: 36 years Sex: Female Name: Parag Borah Age: 40 years Sex: male
Religion: Hindu Occupation: Housewife Religion: Hindu Occupation: Bussinessman
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.6 feet Weight: 56 Kg Hospital No: 12678 Height: 5.9 feet Weight: 70 Kg

Probable Diagnois: Hypothyroidism Probable Diagnois: Thyroid Storm

Rx Rx
1. Tablet PROPYLTHIOURACIL 200 mg
1. Tablet LEVOTHYROXINE 25 mcg Sig. - 1 Tablet to be given orally 6 hourly till further advice
Sig. - 1 tablet once daily in empty stomach for 1 month
2. Tablet PROPANOLOL 40mg
Sig. - 1 Tablet to be given orally 6 hourly
Advice:
- Review after 1 month 3. INJECTION HYDROCORTISONE 100 mg
- Salt restriction Sig. - 1 vial to be given IV immediately
- weight control
4. Tablet PANTOPRAZOLE 40 mg
Sig. - 1 Tablet to be taken early in the morning

5. Tablet METHYL PREDNISOLONE 10 mg

Sig. - 1 Tablet to be taken 8 hourly after food
Dr. ABC
MBBS Advice:
Regd. No. - 12345 - Rehydration Dr. ABC
Address: NMCH, Nagaon - Close sponging MBBS
Phone No: 1234567891 - cardiac monitoring Regd. No. - 12345
Address: NMCH, Nagaon
Phone No: 1234567891

Stage I hypertension Community Acquired Pneumonia

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Raman Das Age: 44 years Sex: male Name: Raju Dey Age: 5 years Sex: Male
Religion: Hindu Occupation: Teacher Religion: Hindu Occupation: Student
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.6 feet Weight: 65 Kg Hospital No: 12678 Height: 3.5 feet Weight: 20 Kg

Probable Diagnois: Stage I hypertension Probable Diagnois: Community Acquired Pneumonia

Rx Rx
1. Tablet AMLODIPINE 5mg 1. SYRUP AMOXICILLIN 250mg/5 ml
Sig. - 1 tablet to be taken after breakfast and continue till further advice Sig. - 10 ml 3 times daily for 5 days

2. Tablet ATORVASTATIN 10 mg 2. SYRUP PARACETAMOL 250 mg/5 ml

Sig. - 1 Tablet to be taken at bedtime till further advice Sig. - 5 ml 6 hourly till fever subsides

Advice:
- Avoid high salt diet
- Avoid spicy oily food
- Mid exercise advised
- Stop smoking and alcohol(if consumed) Dr. ABC Dr. ABC
MBBS MBBS
Regd. No. - 12345 Regd. No. - 12345
Address: NMCH, Nagaon Address: NMCH, Nagaon
Phone No: 1234567891 Phone No: 1234567891

Chloroquine sensitive falciparum malaria Traveller's Diarrhoea

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Rumi Das Age: 17 years Sex: female Name: Raju Dey Age: 35 years Sex: Male
Religion: Hindu Occupation: Student Religion: Hindu Occupation: Businessman
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.4 feet Weight: 55 Kg Hospital No: 12678 Height: 6 feet Weight: 75 Kg

Probable Diagnois: Chloroquine sensitive falciparum malaria Probable Diagnois: Traveller's Diarrhoea

Rx Rx
1. Tablet CHLOROQUINE PHOSPHATE 250 mg 1. Tablet CIPROFLOXACIN 500 mg
Sig. - Day 1 : 4 Tablet Stat Sig. - 1 Tablet 2 times daily for 5 days
2 Tablet after 6-8 hours
Day 2 : 2 Tablet orally 2. ORS
Day 3 : 2 Tablet orally Sig. - 1 packet should be mixed in one litre of water and taken within 24 hours

2. Tablet PRIMAQUINE 15 mg
Sig. - 1 Tablet Stat

Dr. ABC Dr. ABC

MBBS MBBS
Regd. No. - 12345 Regd. No. - 12345
Address: NMCH, Nagaon Address: NMCH, Nagaon
Phone No: 1234567891 Phone No: 1234567891

Mild hypertension with classical Angina Ankylosing spondylitis with acid peptic diseases
Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Raman Das Age: 55 years Sex: male Name: Raju Dey Age: 45 years Sex: Male
Religion: Hindu Occupation: Teacher Religion: Hindu Occupation: Farmer
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.10 feet Weight: 65 Kg Hospital No: 12678 Height: 6 feet Weight: 80 Kg

Probable Diagnois: Mild hypertension with classical Angina Probable Diagnois: Ankylosing spondylitis with acid peptic diseases

Rx Rx
1. Tablet ISOSORBIDE DINITRATE 5 mg 1. Tablet ETORICOXIB 90 mg
Sig. - 1 Tablet to be given sublingually Sig. - 1 Tablet once daily after meal

2. Tablet ATENOLOL 50 mg 2. Tablet PANTOPRAZOLE 40mg

Sig. - 1 Tablet Stat Sig. - 1 tablet daily in morning in empty stomach
- 1 Tablet daily in the morning to be continued
3. Tablet MISOPROSTOL 400 mcg
Sig. - 1 Tablet 2 times daily after meals
Advice:
- Hospitalization and observation Advice:
- vitals monitoring Dr. ABC - Review after 1 month Dr. ABC
MBBS MBBS
Regd. No. - 12345 Regd. No. - 12345
Address: NMCH, Nagaon Address: NMCH, Nagaon
Phone No: 1234567891 Phone No: 1234567891

Acute Attack of Migraine Enteric fever

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Arpita Paul Age: 21 years Sex: female Name: Sweta Dutta Age: 25 years Sex: female
Religion: Hindu Occupation: Student Religion: Hindu Occupation: Housewife
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.4 feet Weight: 55 Kg Hospital No: 12678 Height: 5.5 feet Weight: 55 Kg

Probable Diagnois: Acute Attack of Migraine Probable Diagnois: Enteric Fever

Rx Rx
1. Tablet PARACETAMOL 500 mg 1. Tablet CIPROFLOXACIN 500 mg
Sig. - One Tablet stat and to be repeated until attacks wane off Sig. - 1 Tablet 12 hourly daily for 7 days

2. Tablet DOMPERIDONE 10 mg 2. Tablet PARACETAMOL 500 mg

Sig. - 1 tablet stat Sig. - 1 Tablet 6 hourly daily till fever subsides

3. Tablet FLUNARIZINE 10 mg
Sig. - 1 tab daily at bed time to continue

Advice: Review after 1 month

Dr. ABC Dr. ABC
MBBS MBBS
Regd. No. - 12345 Regd. No. - 12345
 Address: NMCH, Nagaon Address: NMCH, Nagaon
Phone No: 1234567891 Phone No: 1234567891

Acute Urinary Tract Infection Pulmonary Tuberculosis

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Raman Das Age: 29 years Sex: male Name: Parag Borah Age: 40 years Sex: male
Religion: Hindu Occupation: Teacher Religion: Hindu Occupation: Bussinessman
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.10 feet Weight: 65 Kg Hospital No: 12678 Height: 5.9 feet Weight: 70 Kg

Probable Diagnois: Acute Urinary Tract Infection Probable Diagnois: Pulmonary Tuberculosis

Rx Rx
1. Tablet PRULIFLOXACIN 600 mg 1. Tablet ISONIAZID 300 mg
Sig. - 1 Tablet daily after food for 5 days Sig. - 1 Tablet once daily after breakfast for 6 months

2. SYRUP SODIUM CITRATE 2. Capsule RIFAMPICIN 450 mg

Sig. - 2 teaspoonful (10 ml) in a glass of water 3 times daily for 5 days Sig. - 1 Capsule once daily in empty stomach for 6 months

3. Tablet PYRAZINAMIDE 750 mg

Sig. - 2 Tablet once daily for 2 months

4. Tablet ETHAMBUTOL 800 mg

Dr. ABC Sig. - 1 Tablet once daily for 2 months
MBBS
Regd. No. - 12345 5. Tablet PYRIDOXINE 10 mg
Address: NMCH, Nagaon Sig. - 1 Tablet once daily for 6 months
Phone No: 1234567891

Dr. ABC
MBBS
Regd. No. - 12345
Address: NMCH, Nagaon
Phone No: 1234567891

Rheumatoid Arthritis Rheumatoid Fever

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Raman Das Age: 45 years Sex: male Name: Kamala Deka Age: 13 years Sex: female
Religion: Hindu Occupation: Farmer Religion: Hindu Occupation : Student
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.10 feet Weight: 65 Kg Hospital No: 12678 Height: 5.5 feet Weight: 55 Kg

Probable Diagnois: Rheumatoid Arthritis Probable Diagnois: Rheumatoid Fever

Rx Rx
1. Tablet METHOTREXATE 10 mg 1. INJECTION PENICILLIN G
Sig. - 1 Tablet orally weekly after food for 3 months Sig. - 1-2 million IU IM at the interval of 4 weeks til the age of 18 years

2. Tablet HYDROXYCHLOROQUINE 200 mg

Sig. - 1 Tablet 2 times daily after food for 3 months

3. Tablet SULFASALAZINE 500 mg

Sig. - 1 Tablet 2 times daily after food for 3 months

4. Tablet FOLIC ACID 5 mg

Sig. - 1 Tablet orally daily after food for 3 months Dr. ABC Dr. ABC
MBBS MBBS
Advice:- Review after 3 months Regd. No. - 12345 Regd. No. - 12345
Address: NMCH, Nagaon Address: NMCH, Nagaon
Phone No: 1234567891 Phone No: 1234567891

Nutritional Megaloblastic Anaemia Congestive Cardiac Failure

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Arpita Paul Age: 30 years Sex: female Name: Bittu Dutta Age: 50 years Sex: male
Religion: Hindu Occupation: Housewife Religion: Hindu Occupation: Driver
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.4 feet Weight: 55 Kg Hospital No: 12678 Height: 6 feet Weight: 80 Kg

Probable Diagnois: Nutritional Megaloblastic Anaemia Probable Diagnois: Congestive Cardiac Failure
Rx Rx
1. INJECTION CYANOCOBALAMIN 1000 mcg 1. Tablet FUROSEMIDE 40 mg
Sig. - 1 ampoule IM daily for 7 days Sig. - 1 Tablet to be given orally in the morning
- 1 ampoule at the interval of 3 days for 4 weeks - 1/2 tablet in the evening
- To be continued till further advice
2. Tablet FERROUS FUMERATE 200 mg
Sig. - 1 tablet once daily after meals for 3 months 2. Tablet RAMIPRIL 5 mg
Sig. - 1 Tablet to be given orally after breakfast
3. Tablet FOLIC ACID 5 mg - To be continued till further advice
Sig. - 1 tab once daily orally for 3 months

Dr. ABC Dr. ABC

MBBS MBBS
Regd. No. - 12345 Regd. No. - 12345
Address: NMCH, Nagaon Address: NMCH, Nagaon
Phone No: 1234567891 Phone No: 1234567891

Grand mal Epilepsy Acute bacillary dysentery

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Raman Das Age: 29 years Sex: male Name: Pankaj Deka Age: 18 years Sex: male
Religion: Hindu Occupation: Teacher Religion: Hindu Occupation: Student
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.10 feet Weight: 65 Kg Hospital No: 12678 Height: 6 feet Weight: 60 Kg

Probable Diagnois: Grand mal Epilepsy Probable Diagnois: Acute bacillary dysentery

Rx Rx
1. Tablet PHENYTOIN SODIUM 100 mg ( 100 tablets ) 1. Tablet CIPROFLOXACIN 500 mg
Sig. - 1 Tablet to be taken orally once daily till further advice Sig. - 1 Tablet 12 hourly for 5 days

2. ORS
Sig. - 1 packet should be mixed in one litre of water and taken within 24 hours

Advice: Adequate fluid intake

Dr. ABC Dr. ABC

MBBS MBBS
Regd. No. - 12345 Regd. No. - 12345
Address: NMCH, Nagaon Address: NMCH, Nagaon
Phone No: 1234567891 Phone No: 1234567891

Acute Amoebic dysentery

Date: 10/11/24 Giardiasis
Time: 4PM Date: 10/11/24
Name: Pankaj Deka Age: 18 years Sex: male Time: 4PM
Religion: Hindu Occupation: Student Name: Kamal Deka Age: 35 years Sex: male
Address: Diphalu, Nagaon Religion: Hindu Occupation : Farmer
Hospital No: 12678 Height: 6 feet Weight: 60 Kg Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.10 feet Weight: 64 Kg
Probable Diagnois: Acute bacillary dysentery
Probable Diagnois: Giardiasis
Rx
1. Tablet METRONIDAZOLE 400 mg Rx
Sig. - 1 Tablet 3 times daily for 7 days 1. Tablet METRONIDAZOLE 200 mg
Sig. - 1 Tablet 3 times daily for 7 days
2. ORS
Sig. - 1 packet should be mixed in one litre of water and taken within 24 hours

Advice: Adequate fluid intake

Dr. ABC
MBBS Dr. ABC
Regd. No. - 12345 MBBS
Address: NMCH, Nagaon Regd. No. - 12345
Phone No: 1234567891 Address: NMCH, Nagaon
Phone No: 1234567891
 Tubercular Meningitis Hookworm infestation
Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Parag Borah Age: 40 years Sex: male Name: Kamal Deka Age: 15 years Sex: male
Religion: Hindu Occupation: Bussinessman Religion: Hindu Occupation : student
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.9 feet Weight: 70 Kg Hospital No: 12678 Height: 5 feet Weight: 60 Kg

Probable Diagnois: Tubercular Meningitis Probable Diagnois: Hookworm infestation

Rx Rx
1. Tablet ISONIAZID 300 mg 1. Tablet ALBENDAZOLE 400 mg
Sig. - 1 Tablet once daily after breakfast for 9 months Sig. - 1 Tablet once daily for 3 days

2. Capsule RIFAMPICIN 450 mg

Sig. - 1 Capsule once daily in empty stomach for 9 months

3. Tablet PYRAZINAMIDE 750 mg

Sig. - 2 Tablet once daily for 9 months

4. INJECTION STREPTOMYCIN SULFATE 1 gm

Sig. - 1 ampoule IM daily for 2 months Dr. ABC
MBBS
5. DEXOMETHASONE INJECTION Regd. No. - 12345
Sig. - week 1 - 0.4 mg/kg/day IV, week 2 - 0.3 mg/kg/day Address: NMCH, Nagaon
- week 3 - 0.2 mg/kg/day IV, week 4 - 0.1 mg/kg/day Phone No: 1234567891
Followed by-
- week 1 - 4mg/day orally week 2 - 3mg/day/orally
-week 3 - 2 mg/day/orally week 4 - 1 mg/day/orally

Dr. ABC
MBBS
Regd. No. - 12345
Address: NMCH, Nagaon
Phone No: 1234567891

Tapeworm infestation Scabies

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Kamal Deka Age: 15 years Sex: male Name: Parag Borah Age: 40 years Sex: male
Religion: Hindu Occupation : student Religion: Hindu Occupation: Farmer
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5 feet Weight: 60 Kg Hospital No: 12678 Height: 5.9 feet Weight: 70 Kg

Probable Diagnois: Tapeworm infestation Probable Diagnois: Pulmonary Tuberculosis

Rx Rx
1. Tablet PRAZIQUANTEL 600 mg 1. PERMETHRIN CREAM 5% w/w
Sig. - 1 Tablet to be given in the morning after breakfast and may be repeated after Sig. - The cream is to be applied over the whole body (face is spared ) at bedtime
1 week (Reapplication after 1 month )

2. Tablet HYDROXYZINE HYDROCHLORIDE 25 mg

Sig.- 1 Tablet 12 hourly for 5 days

3. Tablet IVERMECTIN 200 mcg/kg

Sig.- 1 Tablet to given with a glass of water after meal (Repeat after 1 week)

Dr. ABC Advice:

MBBS - All contacts and family members should also use permethrin
Regd. No. - 12345 - All cloth used by the patient for last 3 days to be disinfected
Address: NMCH, Nagaon
Phone No: 1234567891

Dr. ABC
MBBS
Regd. No. - 12345
Address: NMCH, Nagaon
Phone No: 1234567891

Acute Gout Chronic Gout

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Kamal Deka Age: 35 years Sex: male Name: Kamal Deka Age: 50 years Sex: male
Religion: Hindu Occupation : Teacher Religion: Hindu Occupation : Teacher
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.10 feet Weight: 64 Kg Hospital No: 12678 Height: 5.10 feet Weight: 64 Kg

Probable Diagnois: Acute Gout Probable Diagnois: Chronic Gout

Rx Rx
1. Tablet COLCHICINE 0.6 mg 1. Tablet FEBUXOSTAT 40 mg
Sig. - 2 Tablets orally stat Sig. - 1 Tablet once daily for 1 month
- To be followed by one tablet orally every 2 hourly until pain is relieved
or diarrhoea ensues 2. Tablet PROBENECID 250 mg
Sig.- 1 Tablet twice daily for 1 month
2. Tablet INDOMETHACIN 25 mg
Sig.- 1 tablet 3 times daily after food
Advice - Review after 1 month

Dr. ABC Dr. ABC

MBBS MBBS
Regd. No. - 12345 Regd. No. - 12345
Address: NMCH, Nagaon Address: NMCH, Nagaon
Phone No: 1234567891 Phone No: 1234567891

Peptic Ulcer disease Tetanus

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Kamal Deka Age: 50 years Sex: male Name: Hiren Kalita Age: 30 years Sex: male
Religion: Hindu Occupation : Teacher Religion: Hindu Occupation: Farmer
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 6 feet Weight: 75 kg Hospital No: 12678 Height: 6.2 feet Weight: 70 Kg

Probable Diagnois: Peptic Ulcer disease Probable Diagnois: Tetanus

Rx Rx
1. Tablet PANTOPRAZOLE 40 mg 1. INJECTION PENICILLIN G
Sig. - 1 Tablet once daily in empty stomach for 6 weeks Sig. -1 million IU, IV 6 hourly

2. SUSPENSION SUCRALFATE 1 gm/10 mL 2. INJECTION MAGNESIUM SULPHATE

Sig.- 10 ml to be given 6 hourly before food Sig. - 5 gm IV loading dose
2 gm IV hourly till spasm are controlled

3. INJECTION TETANUS TOXOID

Sig. - 0.5 ml IM

Dr. ABC Advice: Dr. ABC

MBBS - Hospitalization on separate ward MBBS
Regd. No. - 12345 - Should be kept in quiet and dark room Regd. No. - 12345
Address: NMCH, Nagaon - vials monitoring Address: NMCH, Nagaon
Phone No: 1234567891 Phone No: 1234567891

Myasthenia Gravis
Leprosy Date: 10/11/24
Date: 10/11/24 Time: 4PM
Time: 4PM Name: Rama Das Age: 36 years Sex: Female
Name: Kamal Deka Age: 50 years Sex: male Religion: Hindu Occupation: Housewife
Religion: Hindu Occupation : Teacher Address: Diphalu, Nagaon
Address: Diphalu, Nagaon Hospital No: 12678 Height: 5.6 feet Weight: 56 Kg
Hospital No: 12678 Height: 6 feet Weight: 75 kg
Probable diagnosis: Myasthenia Gravis
Probable Diagnois: Leprosy
Rx
Rx 1. Tablet NEOSTIGMINE 15 gm
1. Tablet RIFAMPICIN 600 mg Sig. - 1 tablet to be given orally 6 hourly , frequency to be adjusted according to response
Sig. - 1 Tablet orally once in a month for 12 months before meal under supervision
2. Tablet PREDNISONE 10 mg
2. Tablet DAPSONE 100 mg Sig. - 1 tablet to be taken orally twice daily after food initially and then followed by 1 tablet once
Sig.- 1 tablet to be taken orally for 12 months after meal daily according to response

3. Tablet CLOFAZIMINE 50 mg 3. Tablet PANTOPRAZOLE 40 mg

Sig.- 6 tablet 300 mg once in a month Sig. - 1 tablet early in the morning

Dr. ABC
Dr. ABC MBBS
MBBS Regd. No. - 12345
Regd. No. - 12345 Address: NMCH, Nagaon
Address: NMCH, Nagaon Phone No: 1234567891
 Phone No: 1234567891

Organophosphorus poisoning Atropine poisoning

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Kamal Deka Age: 50 years Sex: male Name: Kamal Deka Age: 50 years Sex: male
Religion: Hindu Occupation : Farmer Religion: Hindu Occupation : Farmer
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 6 feet Weight: 75 kg Hospital No: 12678 Height: 6 feet Weight: 75 kg

Probable Diagnois: Organophosphorus poisoning Probable Diagnois: Atropine poisoning

Rx Rx
1. INJECTION ATROPINE 2 mg/ml 1. INJECTION PHYSOSTIGMINE
Sig. - To be infused 2 mg IV and repeat every 10 min till atropinization appears Sig. - 1-3 mg is to be injected subcutaneous or intravenous immediately
- Maintenance dose to be given up to 3 weeks according to symptoms - Repeat dose after 10-15 minutes according to response
2. INJECTION PRALIDOXIME 500 mg/vial
Sig.- 2 g to be infused with dextrose NS IV as early as possible within 24 hours and
next dose to be given according to response

Advice: Advice:
- Immediate Hospitalization - Immediate Hospitalization
- IV infusion - gastric lavage with tannic acid
- Termination to exposure Dr. ABC - Correction of dehydration Dr. ABC
- Airway maintain and positive pressure ventilation MBBS - patient should be shifted to dark room MBBS
- gastric lavage Regd. No. - 12345 - Assisted respiration Regd. No. - 12345
Address: NMCH, Nagaon - Benzodiazepine - to control convulsions Address: NMCH, Nagaon
Phone No: 1234567891 Phone No: 1234567891

Morphine poisoning Salicylate poisoning

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Kamal Deka Age: 18 years Sex: male Name: Parag Borah Age: 40 years Sex: male
Religion: Hindu Occupation : student Religion: Hindu Occupation: Bussinessman
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 6 feet Weight: 62 kg Hospital No: 12678 Height: 5.9 feet Weight: 70 Kg

Probable Diagnois: Morphine poisoning Probable Diagnois: Salicylate poisoning

Rx Rx
1. INJECTION NALOXONE 1. INFUSION RINGER LACTATE SOLUTION 500 ml
Sig. - 4-8 gm to be given intravenously immediately and repeat after every 2-3 Sig. - To be infused IV immediately according to hydration
minutes interval till the respiration increases. Repeat every 1-4 hours
according to response 2. INJECTION FRUSEMIDE 2 ampoule
Sig. - 2 ampoules to be infused IV immediately

3. CALCIUM BICARBONATE infusion

Advice: Sig. - To be infused immediately
- Immediate Hospitalization
- Respiratory support and positive pressure ventilation 4. INJECTION VITAMIN K 1 ampoule
- electrolyte infusion Dr. ABC Sig. - 1 ampoule to be infused immediately
- cardiac monitoring MBBS
- gastric lavage with KMnO4 solution Regd. No. - 12345 Advice -
Address: NMCH, Nagaon - Immediate hospitalization
Phone No: 1234567891 - external cooling
- cardiac monitoring
- blood transfusion if required Dr. ABC
- haemodialysis if required MBBS
- gastric lavage Regd. No. - 12345
- supportive treatment Address: NMCH, Nagaon
Phone No: 1234567891

Acute Glaucoma Chronic Glaucoma

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Parag Borah Age: 40 years Sex: male Name: Kamal Deka Age: 50 years Sex: male
Religion: Hindu Occupation: Bussinessman Religion: Hindu Occupation : Teacher
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.9 feet Weight: 70 Kg Hospital No: 12678 Height: 6 feet Weight: 75 kg

Probable Diagnois: Acute Glaucoma Probable Diagnois: Chronic glaucoma

Rx Rx
1. Infusion of hypertonic MANNITOL 20% 1. TIMOLOL EYE DROP 0.5%
Sig. - 1.5- 2 gm/kg to be infused IV immediately Sig. - 2 drops to be instilled twice daily till further advice

2. Infusion ACETAZOLAMIDE 0.5 gm 2. LATANOPROST EYE DROP 0.005 %

Sig. - to be infused immediately Sig.- to be instilled in both eyes once daily in the evening

3. Tablet ACETAZOLAMIDE 250 mg

Sig. - 1Tablet to be taken orally twice daily

4. PILOCARPINE EYE DROPS 4%

Sig. - 4% in both eyes to be instilled at every 10 minutes interval immediately Dr. ABC
MBBS
5. TIMOLOL EYE DROPS Regd. No. - 12345
Sig. - 0.5 % in both eyes to be instilled 12 hourly Address: NMCH, Nagaon
Phone No: 1234567891
Advice -
- for surgical procedure Dr. ABC
MBBS
Regd. No. - 12345
Address: NMCH, Nagaon
Phone No: 1234567891

Induction of labour Premature labour

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Kamala Deka Age: 25 years Sex: female Name: Kamala Deka Age: 25 years Sex: female
Religion: Hindu Occupation : Housewife Religion: Hindu Occupation : Housewife
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.3 feet Weight: 55 kg Hospital No: 12678 Height: 5.3 feet Weight: 55 kg

Probable Diagnois: Induction of labour Probable Diagnois: premature labour

Rx Rx
1. INJECTION OXYTOCIN 5 IU/ml ( 1 ampoule ) 1. INJECTION RITODRINE 10 mg/ml ( 1 ampoule )
Sig. - to be given by IV infusion diluted in 500 ml 0.9% normal saline Sig. - to be given by IV infusion with 0.9% normal saline
- rate of infusion 0.2-2 ml/min - rate of infusion 50 mcg/min , rate of infusion increases every 10 minutes interval till
uterine contraction ceases or if maternal heart rate increases up to 120/min

Advice - Advice -
- Hospitalization and observation - Hospitalization and observation
- fetal monitoring of heart rate - fetal monitoring of heart rate
- monitoring of uterine contraction

Dr. ABC Dr. ABC

MBBS MBBS
Regd. No. - 12345 Regd. No. - 12345
Address: NMCH, Nagaon Address: NMCH, Nagaon
Phone No: 1234567891 Phone No: 1234567891

Status epilepticus Parkinsonism

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Kamal Deka Age: 20 years Sex: male Name: Kamal Deka Age: 42 years Sex: male
Religion: Hindu Occupation : student Religion: Hindu Occupation : Driver
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.3 feet Weight: 55 kg Hospital No: 12678 Height: 6 feet Weight: 75 kg

Probable Diagnois: status epilepticus Probable Diagnois: Parkinsonism

Rx Rx
1. INJECTION DIAZEPAM 10 mg/2 ml (1 ampoule ) 1. Tablet LEVODOPA 500 mg
Sig. - to be given IV as a bolus injection followed by fractional dose in every 10 Sig. - half tablet to be taken orally twice daily before meal
minutes if desired response doesn't occur - gradually increasing the dose maximum up to 2-4 gm/day till adequate response

2. Tablet CARBIDOPA 25 mg
Advice - Sig. - 1 tablet to be given orally along with levodopa twice daily and increasing the dose up to
- Hospitalization and observation 75-100 mg/day according to response
- Airway maintenance
Advice -
- avoid pyridoxine containing vitamin
- observe involuntary movement
Dr. ABC - avoid drugs like mataclopromide Dr. ABC
MBBS MBBS
 Regd. No. - 12345 Regd. No. - 12345
Address: NMCH, Nagaon Address: NMCH, Nagaon
Phone No: 1234567891 Phone No: 1234567891

Drug induced Parkinsonism Intractable Hiccups

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Kamal Deka Age: 50 years Sex: male Name: Kamala Deka Age: 25 years Sex: female
Religion: Hindu Occupation : Teacher Religion: Hindu Occupation : Housewife
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 6 feet Weight: 75 kg Hospital No: 12678 Height: 5.3 feet Weight: 55 kg

Probable Diagnois: Drug induced Parkinsonism Probable Diagnois: Intractable Hiccups

Rx Rx
1. Tablet TRIHEXIPHENIDYL 2 mg 1. INJECTION CHLORPROMAZINE 25 mg/5 ml ampoule
Sig. - 1 tablet to be taken orally twice daily Sig. - 1 ml to be given IV immediately
- After 10-15 minutes repeat the dose
2. Tablet PROMETHAZINE 25 mg
Sig.- 1 tab to be given orally twice daily till symptom subsides

Advice -
- to withdraw or replace the subsidiary medicine

Dr. ABC
MBBS Dr. ABC
Regd. No. - 12345 MBBS
Address: NMCH, Nagaon Regd. No. - 12345
Phone No: 1234567891 Address: NMCH, Nagaon
Phone No: 1234567891

Type I Diabetes Mellitus Type II Diabetes Mellitus

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Kamal Deka Age: 42 years Sex: male Name: Hiren Kalita Age: 30 years Sex: male
Religion: Hindu Occupation : Driver Religion: Hindu Occupation: Farmer
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 6 feet Weight: 65 kg Hospital No: 12678 Height: 6.2 feet Weight: 70 Kg

Probable Diagnois: Type I Diabetes Mellitus Probable Diagnois: Type II Diabetes Mellitus

Rx Rx
1. INJECTION HUMAN SOLUBLE INSULIN 30% NPH SOLUTION 70% 1. Tablet GLIMEPIRIDE 1 mg
Sig. - 14 IU to be injected subcutaneously before breakfast in anterior abdominal Sig. - 1 tablet to be taken orally 30 minutes before breakfast till next advice
wall around the umbilicus
- 12 IU to be injected subcutaneously before dinner in anterior abdominal wall 2. Tablet METFORMIN 500 mg
around the umbilicus Sig. - 1 tablet to be given orally before food twice daily
- dose adjusted according to plasma glucose concentration
3. Tablet Pioglitazone 15 mg
Sig. - 1 tablet to be given orally after food twice daily
Advice -
- education about diabetes
- medical nutritional therapy Advice: Dr. ABC
- daily physical activities Dr. ABC - patient education MBBS
- blood pressure and lipid control MBBS - Increase physical exercise Regd. No. - 12345
Regd. No. - 12345 - Life style modification Address: NMCH, Nagaon
Address: NMCH, Nagaon Phone No: 1234567891
Phone No: 1234567891

Diabetic Ketoacidosis Hypoglycaemic coma

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Parag Borah Age: 40 years Sex: male Name: Kamal Deka Age: 42 years Sex: male
Religion: Hindu Occupation: Bussinessman Religion: Hindu Occupation : Driver
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.9 feet Weight: 80 Kg Hospital No: 12678 Height: 6 feet Weight: 75 kg

Probable Diagnois: Diabetic Ketoacidosis Probable Diagnois: Hypoglycaemic coma

Rx Rx
1. INJECTION Regular INSULIN 1. 25% DEXTROSE SOLUTION 100 ml ( 1 bottle )
Sig. - To be given IV 0.1-0.2 units/kg as a bolus injection immediately Sig. - to be infused IV immediately . If no response repeat the dose and measure plasma
- 0.1/kg/hr IV infusion ( dose should be doubled after 2 hours if blood glucose glucose concentration accordingly
does not significantly fall usually 10% hourly )
- After 4-6 hours or when blood glucose decreases to around 300 mg/dl , then 2. INJECTION GLUCAGON 1 mg/ml
the infusion rate is reduced to 2-3 units/hr and continue till further consciousness Sig. - to be injected subcutaneously immediately

2. IV FLUID NS 0.9% 3. Any kind of GLUCOSE SOLUTION ORALLY

Sig. - to be infused 1L/hour for 4-5 hours
Advice -
3. INFUSION of PLAIN 5% DEXTROSE SOLUTION - monitoring serial blood glucose
Sig. - to be infused after 4-6 hour if blood glucose level is < 300 mg/dl - ECG Dr. ABC
- cause of hypoglycaemia MBBS
4. INJECTION POTASSIUM CHLORIDE Regd. No. - 12345
Sig. - 10-20 mcg/hour to be infused with IV fluid after 4-6 hours Address: NMCH, Nagaon
Phone No: 1234567891
Dr. ABC
MBBS
Regd. No. - 12345
Address: NMCH, Nagaon
Phone No: 1234567891

Congestive Heart Failure Acute Myocardial Infarction

Date: 10/11/24 Date: 10/11/24
Time: 4PM Time: 4PM
Name: Kamal Deka Age: 50 years Sex: male Name: Kamal Deka Age: 50 years Sex: male
Religion: Hindu Occupation : Teacher Religion: Hindu Occupation : Teacher
Address: Diphalu, Nagaon Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.8 feet Weight: 75 kg Hospital No: 12678 Height: 5.8 feet Weight: 75 kg

Probable Diagnois: Congestive Heart Failure Probable Diagnois: Acute Myocardial Infarction

Rx Rx
1. Tablet FUROSEMIDE 40 mg 1. INJECTION MORPHINE SULPHATE 10 mg/ml
Sig. - 1 tablet to be taken at morning 7 a.m and 1 tablet at evening 3 p.m to be Sig. - 1 ampoule to be given intramuscularly/ subcutaneously immediately
continued till further advice
2. Tablet ASPIRIN 325 mg
2. Tablet RAMIPRIL 5 mg Sig. - to be chewed and swallowed as early as suspected myocardial infarction
Sig. - 1 tablet daily to be taken in the morning after breakfast and to be continued
till further advice

Advice - Advice -
- rest - cardiac monitoring
- salt restriction Dr. ABC - urgent ECG monitoring Dr. ABC
MBBS - airway maintenance MBBS
Regd. No. - 12345 - input /output blood volume maintenance Regd. No. - 12345
Address: NMCH, Nagaon Address: NMCH, Nagaon
Phone No: 1234567891 Phone No: 1234567891

Chemotherapy induced vomiting

Date: 10/11/24
Time: 4PM
Name: Kamal Deka Age: 50 years Sex: male
Religion: Hindu Occupation : Teacher
Address: Diphalu, Nagaon
Hospital No: 12678 Height: 5.8 feet Weight: 75 kg

Probable Diagnois: Chemotherapy induced vomiting

Rx
1. INJECTION ONDANSETRON 2mg/ml
Sig. - 8 mg to be injected intravenously over 15 minutes , half an hour before
Chemotherapy followed by 2 similar doses at 4 hours interval if required

2. Tablet ONDANSETRON 8 mg
Sig. - 1 tablet to be taken twice daily for next 3-4 days

Dr. ABC
MBBS
Regd. No. - 12345
Address: NMCH, Nagaon
Phone No: 1234567891