Ajab Singh
Ajab Singh
Ajab Singh
DISCHARGE SUMMARY
UHID : 20190259451
Patient
Mr. AJAB SINGH Department:General Medicine
Name:
55 Years 0 Months 9
Age /Sex: Unit:: General Medicine
Days 0 Hours / Male
S/O : RAM CHANDRA Ward:: Medical Ward-1
Billing Type : APL MLC Patient:NO
IPD
Discharge Issue Temporary
Admission ID 201919797
Type: Death Certificate
::
Treating
Dr. Vaibhav Ingle, Bed No: 7
Doctor:
Mobile No: *******081
Drug Allergy :-
Date of 23/12/2019
Admission: 03:28:10 PM
Date of 01/01/2020
Discharge : 04:15:00 AM
RAIPUR, SUJALPUR,
Address : MADHYA PRADESH,
INDIA
METABOLIC ENCEPHALOPATHY WITH SEPSIS WITH SEPTIC SHOCK WITH RHEUMATOID ARTHRITIS WITH
Diagnosis :
DISEASE FLARE WITH DIABETES MELLITUS
ICD Code:
Admitted For: k/c/o RA with pain all limbs and B/L pedal edema
Condition During
DEATH
Discharge :
55 YR M patient, k/c/o RA presented in OPD with complaint of pain all limbs and
b/l pedal edema with recently diagnosed T2DM. Patient was treated with
analgesics, DMARDs and Insulin. On 28/12/19, patient had an episode of
hypoglycemia, hyponatremia with altered sensorium. Patient was given 3% NaCl
and RT inserted. On 30/12/19, patient became drowsy and was intubated and
Brief Summary of the Case:
started on mech ventilation. On 31st Dec, patient had falling BP, aat !! PM. Inj
Nor Ad was initiated and uptitrated to maintain BP. ON 1/1/2020 at 3:00 AM,
patients pulse and BP were not recordable. CPR was initiated as pper acls
guidelines. Despiteall efforts, patient could not be revived and was declared dead
at 4:15 AM
Treatment Given :
Advice on Discharge: NA
01/01/2020 04:15:00 AM
Date & Time