CASE PRESENTATION ON

GASTROENTRITIS
PREPARED BY: NIKUNJ VEKARIYA
ROLL NO:26
SUBMITTED TO: DR.MEHAK MISTRI
 What is Gastroenteritis ?
• An intestinal infection marked by diarrhoea, cramps, nausea, vomiting and fever.

Symptoms:
• Diarrhoea, cramps, nausea, vomiting and low-grade fever are common symptoms.
Non-pharmacological management:
• Avoiding contaminated food and water and washing hands can often help prevent infection.
Rest and rehydration are the mainstays of treatment.
pharmacological management:
• Use of antibiotics and antacids.
 Patient Demo Graphics

Initial name : S.H

DOA: 11/2
Age:24 years
Gender: Male
DOD: 18/2

Unit: Medicine
Diagnosis : H. Pylori induced gastroenteritis
Past medication/medical history: Nil
Allergy
F.H – not significant
Reason for admission – Burning sensation over epigastric region after taking food, satiety,decreased apetite,
decreased weight.
 Vitals
11/2 12/2 13/2

B.P (mm/hg) 122/80 110/82 120/82

P.R(beats/min) 82 84 78

Temperature N N N

RR (Breaths/min) N N N
 Laboratory data Normal values

Hb – 14.3 In Female-12-17.5 g/dl

In male-13.5-17.5g/dl

Total count- 7900 4500 to 10000 cells/micro litre

Differential count- neutrophils-53% 45-60%

eosinophils-5% 1-3%
lymphocytes-37% 23-33%
monocytes-5% 3-7%

Platelets-2.92 1.5-4.5/micro litre

Creatine-0.7 0.6-1.3mg/dl

SGOT-34 5-40
 Laboratory data Normal values

Blood indices-PCV-45.5 44.4-45.3%

MCV-71 80-96 FL
MCH-22.3 27-33pgm/cell
MCHC-31.4 33.4-35.5g/dl
RBC-6.41 4.7-6.1 M
RDW-14.5 11.8-14.5

ECG-N -

Day-1 –UGI SCOPY

Report- sign of mild anteral gastritis
 Drag name Dos/freq.

MEDICINES:
Normal saline 0.9%+IV 80cc/hr

Optineauron 2 amp -

Inj PAN 40mg/12hourly

Inj EMSET 4 cc (sos)

Pantop KIT (1-0-1)

Capsule darolac (1-0-1)

Day-2 (Same as Day-1)

Day-3 –Stop N.s + Add tab. PAN 40mg (1-0-1)
 Discharge Medication
Drug name Dose Freq.

Pantop kit 500mg +40mg+750mg (1-0-1)

Cap. Darolac - (1-0-1)

Tab.mv+B.complex - (0-1-0)
 SOAP NOTE
Subjective data:
Patient complaints- Burning sensation over epigastric region after taking food, satiety,decreased apetite, decreased weight.

Objective data:
Age:24years
Gender:male
Abnormal data:
MCV-71
MCH-22.3
MCHC-31.4
RBC-6.41
neutrophils-53%
eosinophils-5%
lymphocytes-37%
 Assesment:
A 24 years old male came with complains as
assembled in the subjective data. As on day 1
patient was undergone for ugi scopy which gave
the reports of mild anteral gastritis, which give
the diagnosis of H.pylori induced gastritits.
 Drug chart assessment:
Brand name Generic name Dose Frq. ROA Indication

N.S + I.V Normal 80cc Per hour I.V Dehydration

optineuron saline+optineur and deficiency
on

Inj PAN Pantoprazole 40mg 12hrly I.V Burning

Sensation
Inj EMSET Ondansetron 4cc Sos I.V Vomitting

Pantop KIT Clarithromycin 500mg+40mg+ 1-0-1 Oral Eradication of

+pantoprazole+ 750mg H.pylori
amoxicillin
Capsule darolac Probiotic - 1-0-1 oral Restore normal
balance of
intenstinal
flora
Tab M.V + B.C Multivitamin+b - 0-1-0 oral Deficiency of
complex vitamins
Problem identified:
h.pylori test was not performed

Drug Interaction:
clarithromycin+ondansetron: clarithromycin and
ondansetron both increase Qtc interval , avoid or
use alternative drugs.
Plan:
Gestroentritis is disease which cause swelling in the stomach which causes burning due to
acidity.

Goals of therapy: (under Assesment)

Treat symptoms ( fever, pain) as indicated.
Identify complications.
Prevent the spread of infections.
To control the inflamation

Lifestyle modifications:
Take more amount of liquids
Avoid OTC medication
To stop eating oliy and spicy food for fews days
Take rest
Start eating food which are easily diagestable food. Like banana,rice etc..
Patient counselling regarding discharge medication

1.pantop kit(Clarithromycin+pantoprazole+amoxicillin) (1-0-1)

- Used for reducing acidity of stomach.
- it should be taken at day and night.
-common side effects – Diarrhoea , vomiting,nausea,headache.

2.cap darolac(probiotic)(1-0-1)
-it is given here for treatment or GI discomfort and to improve
digestion.
It should be taken twice a day.
Common side effects:
Bloating,difficulty in breathing , GIT infection
3.Tab.mvbc(multivitamin-B-complex)(0-1-0)
it is given here to prevent deficiency of vitamin.
It should be taken once daily.
Common side effects – constipation , nausea, stomach upset

Missed dose
instructions:
take missed dose as soon as you remember,do not take extra
dose, do not take two does at one time.

Reference: Medscape(Mobile App)