Greeting, everybody! How is everything going on around you? Hope that everything is happening according to your plan and expectation. I am also fine, Alhamdulillah. This is my 27th #iamalivechallenge post, the project run by @flaxz. I back again with a case history. At first, I am going to share the case history of a diabetic patient with severe abdominal pain and vomiting. Then I will mention why am I grateful for today.
Today evening one 47-years old Omani lady came with the complaints of severe left flank pain from yesterday. She was also having multiple episodes of vomiting since the pain started. She was a known patient of diabetes mellitus and was on insulin. Due to the vomiting and pain, she couldn’t eat anything since the beginning of the pain, hence, she didn’t take her insulin shots as well.
She was breathing fast and was distressed with the pain. He wasn’t having any fever. Her blood pressure was normal and her pulse was a little high (due to pain). I started one intravenous fluid and added one painkiller to reduce the pain along with another injection to stop the vomiting. I also advised for some investigations such as complete blood count (CBC), RBS (random blood sugar) and Urine R/M/E (routine microscopic examination).
Within one hour the results of the tests came back from the Lab. Her blood sugar was way too high; it was 746 mg/dl. This high was due to a missed dose of insulin. She also had significant infections in urine and blood. The findings were consistent with a bacterial infection.
By the time, the reports became available, her pain subsided significantly. Then, I add oral medications for the problems. She then left.
Why am I grateful for today?
I am grateful to my creator that I am alive today.
I am grateful to Allah because I can't remember when the last time I suffered from abdominal pain.
I am grateful to my Lord because He made me a doctor.