18 F DKA with perianal abscess


Chief Complaints :

 A 18 Years Old Female who is a Student Presented with C/O

Pain & Swelling in Perianal Region Since 10days

Fever with Chills Since 10 Days 

Shortness of Breath Since 2 Days

History of Present Illness : 

Patient Was Apparently Asymptomatic 8 Years ago then She Suddenly Developed Pain Abdomen ; Shortness of Breath (grade 4) & Lethargy for Which she went to Hospital in Hyderabad & Was Diagnosed with Type 1 DM ( RBS was around 600mg/dL ) Since then She was on Inj.MIXTARD BD.

4 Years Ago She Developed Pain Abdomen Which was Sudden Onset , Diffuse , Squeezing Type ; Non Radiating & Not Relieved With Medication & Went to Hospital Where she was told it is Due to Uncontrolled Sugars & Pain Got Subsided after Treatment & Was Prescribed with Inj.MIXTARD ( 20U - Morning ; 15U - Night )

10 Days Back She Developed Swelling Around the Perianal Region Which is Initially Around 1x1cm & Gradually Progressed to Present Size Around 4x4cm,Associated with Pus Discharge with reddish skin discoloration around the swelling , Pain, Fever with Chills 5 days back which is Low Grade & Intermittent for Which She Went to Hospital 5 Days Back & Was Started on Antibiotics. After Taking These antibiotics She Started Having Nausea & Decreased Food Intake. So They Decreased the Insulin Dose to 5U Morning & 5U Night Since 3 Days. 2 Days Back She Started Having Shortness of Breath which Was  Grade 2 & GRBS Was 480mg/dl for Which She Went to Local Hospital & Took Some Injections. Then after 1 Days SOB Progressed to Grade 4 & Referred to Our Hospital.






Past History : 

H/O Swelling over inner Thighs associated with Pus Discharge 1 Year Ago Following 2nd Dose of COVID vaccination & Took Medication in local Hospital & Got Relived

K/C/O Type 1 DM Since 8 Years

N/K/C/O HTN ; TB ; Asthama ; Epilepsy 


Personal History : 

Diet : Mixed 

Appetite : Decreased since 5 days

Sleep : Inadequate since 4

Bowel : not passed stools since 5 days

Bladder : regular

Addictions : Nil 


Family History : 

Her Father -  T 2 DM Since 10 Years 


GENERAL PHYSICAL EXAMINATION  

 Patient is conscious, coherent, coperative and well oriented to Time place and person.

She is moderately built and nourished.

No h/ o pallor, Cyanosis, clubbing, generalized lymphadenopathy - absent.

Vitals on admission - 

Temperature - 98.5F

Pulse rate - 114bpm

Respiratory rate - 28cpm

Blood pressure - 120/70mm hg


SYSTEMIC EXAMINATION 

•Cardiovascular system- 

 S1 and S2 are heard ,no murmurs are heard.

•Respiratory system:

  Trachea central, all quadrants of chest moves equally with respiration. No adventitious sounds.

 Breath sounds- bilateral normal

 Vesicular breath sounds are heard.

•Central nervous system- 

   No focal neurological deficits

  •Abdominal system:

Inspection:

  On inspection abdomen is flat, symmetrical.

Umbilicus is centre and inverted. 

All 9 regions of abdomen are equally moving with respiration.

Palpation:

     On palpation abdomen is soft and mild tender. 

 All inspectory findings are confirmed.

Auscultation:decreased  bowel sounds 




























Provisional diagnosis: 
 
Diabetics ketoacidosis with type 1 diabetes with perianal abcess

Treatment


1) IVF - NS @100ml/HR 
 2) Inj HAI(0.1u/kg/hr) IV     infusion
3) inj Piptaz 4.5g/IV/BD
4) inj amikacin 500mg/IV/BD 
5) Inj metrogyl 100ml/iv /tid
6) GRBS monitoring hourly
















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