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Case Presentation Viral HepatitisK.Pruthvi Kumar ReddyII Pharm DPatient ProfileName : xxxxxAge : 27 yearsGender : maleUnit : Male Medical WardDate of admission : 28/9/2010]Date of discharge : 05/10/2010

Chief complaints : On 29/09/2010Blackish pigmentation all over the body, burning micturition. on 30/09/2010Swelling of lower limbs on 01/10/2010Fever, myalgia, pallor on 03/10/2010Fever on 04/10/2010Fever with vomitings

On examination : 28/09/2010 Temperature : 1020 F BP : 110/80 Pulse : 86/mt29/09/2010 BP : 110/60 Pulse : 84/mt Urine output : 800ml30/09/2010 BP : 90/60 At 10 AM Pulse : 86/mt Urine output : 250 ml At 5 PM BP : 120/60 Pulse : 86 /mt

On 01/1o/10 BP : 110/70 mm hg Pulse : 86/mt Total IV fluids : 1o00 ml Total oral fluids : 500 ml Total urine output : 1850 ml

On 02/10/10 BP : 130/70 mm hg Pulse : 84/mt Total IV fluids : 1000 ml Total oral fluids : 500 ml Total urine out put : 2,600 ml

On 03/10/10 BP ; 130/70 mm hg Total IV fluids : 1000 ml Total oral fluids : 500 ml Total urine out put : 2,800 ml On 04/10/10 BP : 120/70 mm hg Pulse : 84/mt Total IV fluids : 1000 Total oral fluids : 500 ml Total urine output : 2,900 ml

On 05/10/10 BP : 100/60 Pulse : 82/mt Total IV fluids : 500 ml Total oral fluids : 600 ml Total urine output : 2,500 ml SPECIMEN PARAMETEROBSERVED VALUENORMAL VALUE Blood Hb 9.5 g/dl11-16.5 g/dl Blood PCV 23.8% 35-50% Blood TC 21,200 3,500-10,000 Blood Lymphocyte 22.2% 15-30% Blood Mid cells 5.35% 2-10 % Blood Neutrophils 72.5 % 40-70 % Blood ESR 104mm/hr 0-20 mm/hr Blood Platelets 75,000 1-4 lac cells Blood Urea 68 mg/dl 10-50 mg/dl Blood Albumin 1.9 g/dl 3.5 5 g/dl Blood Total proteins4.2 g/dl

6.8-8.3g/dlOn 28/0/2010SPECIMENPARAMETEROBSERVED VALUENORMAL VALUEBloodCreatinine1.1 mg/dl0.8-0.9 mg/dlBloodSGOT352 U/l6-38 U/lBloodSGPT160U/l6-38U/lBloodALP200 Mu/L36-142mu/mlBloodT.Bilirubin26.4 mg/dl0.5-1.1mg/dlBloodD.Bilirubin14 mg/dl