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  • MR Interna Intoksikasi Metanol

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    vina_vermillion
    81 tayangan17 halaman
    This document contains information about a 33-year-old male patient from Indonesia presenting with vomiting, blurred vision, and breathlessness. On examination, the patient appeared moderately ill with somnolence and normal vital signs. Laboratory tests found metabolic acidosis, hyperkalemia, and elevated liver enzymes. Chest x-ray was normal. The patient was assessed with methanol intoxication and toxic optic neuropathy. The treatment plan included emergency hemodialysis, IV fluids, thiamine injections, nebulizer treatment, and insulin drip to address the metabolic acidosis.

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    Mr Interna Intoksikasi Metanol

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    This document contains information about a 33-year-old male patient from Indonesia presenting with vomiting, blurred vision, and breathlessness. On examination, the patient appeared moderately ill with somnolence and normal vital signs. Laboratory tests found metabolic acidosis, hyperkalemia, and elevated liver enzymes. Chest x-ray was normal. The patient was assessed with methanol intoxication and toxic optic neuropathy. The treatment plan included emergency hemodialysis, IV fluids, thiamine injections, nebulizer treatment, and insulin drip to address the metabolic acidosis.

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    Attribution Non-Commercial (BY-NC)
    Unduh sebagai PPTX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    81 tayangan17 halaman

    MR Interna Intoksikasi Metanol

    Diunggah oleh

    vina_vermillion
    This document contains information about a 33-year-old male patient from Indonesia presenting with vomiting, blurred vision, and breathlessness. On examination, the patient appeared moderately ill with somnolence and normal vital signs. Laboratory tests found metabolic acidosis, hyperkalemia, and elevated liver enzymes. Chest x-ray was normal. The patient was assessed with methanol intoxication and toxic optic neuropathy. The treatment plan included emergency hemodialysis, IV fluids, thiamine injections, nebulizer treatment, and insulin drip to address the metabolic acidosis.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai PPTX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 17

    IDENTITY

    Name Gender Age Nationality Religion

    Occupation
    Address Marital status

    TA

    : SY : Male : 33 years old : Indonesia : Islam : Employee :Jl. Gang Lebah No. II Denpasar : married :22 August 2012 (14.00 p.m)

    ANAMNESIS
    Chief Complain: Vomiting Present History: Patient came with chief complaint of vomiting since 1

    day before admission. Vomit contain food that patient eat before. Vomit about three times and volume was of glass every vomit. Patient also complained about nausea. Bloody vomit also denied by patient.

    Patient also complained about blurr vision since 1 day

    before admision. The visual like cloudy vision and when patient go to hospital, patient cant see anything Patient has an history drink alcohol 3 days BATH, Patient also complained about breathlessness 1 day BATH. History of fever was denied by patient. Stool and micturition was normal.

    Past History
    Patient never felt the same complain like this before. History of allergic, Heart ds, Asthma, Lung TB were

    denied.

    Family History
    History of heart ds, Asthma, Lung TB, in family

    member were denied Social History He drank alcohol 3 days BATH with his friend, but patient forget the brand.

    Physical examination

    General appearance Level of consciousness VAS BP HR RR Temp. Ax Height BW BMI

    : moderately ill : Somnolen (E4V4M5) : 0/10 : 110/70 mmHg : 100 bpm : 22 bpm : 36,5 0C : 170 cm : 65 kg : 22, 49 kg/m2

    Eyes

    Conjuntival pallor -/-

    Icterus -/-, redness -/ PR +/+ isochoric


    ENT

    Ear: secret (-). Nose: secret (-), hyperemia (-) Throat: pharing hyperemia (-), T1/T1. Tenderness (+) JVP 0 cmH2O Gland enlargement (-)
    Neck

    Thorax Cor
    I : Ictus cordis unseen Pa : Ictus cordis palpable Pe : UB (ICS II), RB (PSL dextra), LB (MCL sinistra ) Aus : S1S2 single, regular, murmur (-)

    Po
    I Pa Pe Aus : Simetrically (static & dinamic) : Vocal fremitus N/ N : Sonor/ Sonor : Vesicular +/+, Rhonki-/+, Wheezing -/-

    ABDOMEN
    I Aus Pa Pe : dist (-) : Bowel sound (+) normal : tenderness (-), H/L unpalpable, : Tympanic (+)

    EXTREMITIES
    Warm (+), oedema (-)

    Parameter

    Pemeriksaan penunjang
    Resul t Unit Remarks Paramater

    Result

    Unit

    Remar ks

    WBC
    NEUT LYMPH

    16,68 103L
    89,60 % 103L 7,10 % 103L

    Hematokrit
    Platelet MCV MCH

    53,90 %
    511 103L 85,50 fL 28,60 pg

    MONO
    EOS BASO RBC Hemoglobin

    2,60 % 103L
    0,10 % 103L 0,10 % 103L 6,05 106L 18,00 g/dL

    Chemical COUNT
    Parameter BUN Creatinin SGOT SGPT RBG Cloride Result 25,00 1,34 30,00 88,00 110,00 95,22

    PH
    PCO2 P02 HCO3 BE SO2 NA K

    7,1
    10 165 3,20 -26,30 99 131 7,3

    Chest X-Ray

    Cor: within normal limite,

    CTR 50% Pulmo: infiltrat (-), nodule (), bronchovesicular patern normal Costrophrenicus angle is left and right sharp Left and right diaghfarma was normal Conclusion: cor and pulmo was normal

    Assessment
    Intoxication methanol
    Acidosis metabolic Hipercalemia

    Toxic optic neuropathy

    PLANNING
    Theraphy
    HD Cito IVFD Nacl 0,9% 20 tpm Thiamin inj

    Monitor
    AGD Kalium post HD

    Ca Glukonas 3x1 amp


    Nebulizer salbutamol 20

    mg D 40% 100 cc+ D 10 % 100 cc+ insulin 20 unit 20 minute

    Thank you

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