A 16 years young Male, unable to hear and speak means has deafness since birth as well as he is mentally retarded too. He used brought to me for minor illnesses for many times, and gets ALRIGHT. One month back he was brought by his father complaining of Anorexia, nauseating feeling with yellow eyes. I ordered LFT AND CBC, Reports were s.bilirubin 5.6 mg, SGOT 320 iu, SGPT 360 iu, CBC normal. I advised oral glucose and DOM+PANTAPRAZOLE, BCOMP TWICE A DAY FOR 7 DAYS.
After 15 DAYS, his father rang me in evening, that my child is vomiting CONTINUOUSLY. I prescribed on telephone iv glucose 25% 100ml ,iv glucose SALINE 500ml, iv glucose 5%500 ml iv DRIP, injection anti emetic, injection Ranitidine iv.etc. In the morning patient was in state of deep respiration, unconscious state as if he is in ketoacidosis. Urgent blood sugar done it was 560mg. Pt RECOVERED in two days with iv INSULIN.…
