60 YEAR OLD PATIENT WITH UNCONTROLLED SUGARS AND LOSS OF VISION
60 year old female with complaints of uncontrolled sugars since 3 days and decreased vision in left eye since 1 year
Patient was apparently asymptomatic 3 days back then She is having uncontrolled sugars .she has come to hospital with loss of vision in left eye since 1 year
Past history :
H/o cataract surgery 5 years back
H/o diabetes mellitus since 3 years on medication of glimiperide and metformin
No h/o hypertension , asthma ,epilepsy
Personal history :
Married
Occupation farmer
Bowel and bladder regular
No known allergies
No addictions
Family history:
Not significant with the patient history
On examination:
Patinet is conscious/coherent/ cooperative
No pallor /icterus/cyanosis/clubbing/lymphadenopathy
BP -110/70mmhg
PR-78BPM
RR-16CPM
SPO2-98 ON RA
GRBS-103 mg /dl on admission
Systemic examination:
CVS - S1 S2 heard
CNS- NAD
RS- BAE + ,NVBS HEARD
P/A - SOFT ,NON TENDER.
Eye examination:
Right left
Visual acuity CF 3MT pinpoint HM+
Pupil 3/60
Lids normal puspoint boken
Conjunctiva quiet quiet
Cornea arcus arcus
Anterior chamber NAD NAD
Pupil oval NSRL
Lens psuedophakia HMC
IOP 9mmhg 9mmhg
S/S patent patent
Investigations :
RBS -
27/4/22:
240mg/dl
28/4/22:
11pm -108mg/dl
29/4/22:
2am-94mg/dl
3am-122mg/do
Serology :
HIV, RBS ,HCV -negative
Provisional diagnosis:
Left eye High Myopia cataract
Uncontrolled sugars
Treatment given :
Sx: SICS WITH PCIOL FOR CATARACT DONE on 27/4/22
1.TAB TRIPRIDE 1 PO OD
2.E/D CIPROFLOX QID
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