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PRESENTED BY:
Mr. Anil keshav pawar
(B.PHARM VIII SEMESTER)
KIDNEY STONE THERAPY
ANURADHA COLLEGE OF
PHARMACY,CHIKHLI
CASE STUDY ON KIDNEY STONE
SUBJECTIVE DATA
1. Patient Demographics
Name : MR Vishwas Chankhore
Sex : Male
Age : 50 yrs
Weight : 70kg
2 .Reasons
C/O(Complaints of)
- frequent urination
- feeling more stressed or tired than usual
- blured vision
- loss of weight
- abdominal pain
3.Past Medical History No
4. Past Medication History - No
5. Social History - No
Sr. no Parameter Result Normal Range
1 Serum cholesterol 224.0 mg/dl 200 mg/dl
2 Serum triglyceride 237.0 mg/dl 150 mg/dl
3 Cholesterol /HDL
ratio
5.9
4 SerumHDL
cholesterol
31.6 mg/dl
5 serum LDL
cholesterol
133.4 mg/dl
6 LDL and HDL ratio 4.2
7 Fasting blood
glucose
175 mg% 80- 100 mg%
8 Post pradial blood
glucose
236 mg % 100-120 mg%
9 Urea creatine 200
10 Urea albumin and
urea creatine ratio
<30
OBJECTIVE DATA:
1) Systemic examination:-
B.P - 128/78 mm/hg
Pulse Rate- 66/min
Temp- Normal
2) Biochemical Tests
3)screening for complication of diabetes :
Eyes :retinal examination did not reveal any micro-
aneuysms,hammorhages,exudates,neovascularistion or other evidence of
diabetic retinopathy
Kidneys : microalbunuria present,needs follow up
Nerves : no significant evidence of sensory or automatic neuropathy
Blood pressure : hypertensive
E.C.G :resting E.C.G normal no evidence of cardiacautonmic involvement
P.V.D : Doppler studies reveal ankle brachial pressure index right nd left to be
more than one.no signifivant evidence of P.V.D
Remarks : evidence of micro angiopathy.
Sr.n
o.
Brand
Name
Generic Name Dose Frequen
cy
1 Tab.
Flamace P
Aceclofenac Paracetamol
500mg,
Aceclofenac
100mg
B.D.
2 Cap.
Rabinem D
Rabeprazole,
Domperidone
Rabeprazole
20mg,
Dompeidone
30mg
O.D.
3 BRUGEL Flubriprofen
topical
TREATMENT :
DAY 25/07/2016
 ADVICE
 Avoid weight lifting

 PHARMCIST INTERVENTION

 Patient Counselling
 Maintain Normal Body Weight
 Exercise Regularaly
 Avoid rapid hand movements
 Avoid lifting heavy objects
KIDNEY STONE THERAPY
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KIDNEY STONE THERAPY

  • 1. PRESENTED BY: Mr. Anil keshav pawar (B.PHARM VIII SEMESTER) KIDNEY STONE THERAPY ANURADHA COLLEGE OF PHARMACY,CHIKHLI
  • 2. CASE STUDY ON KIDNEY STONE SUBJECTIVE DATA 1. Patient Demographics Name : MR Vishwas Chankhore Sex : Male Age : 50 yrs Weight : 70kg 2 .Reasons C/O(Complaints of) - frequent urination - feeling more stressed or tired than usual - blured vision - loss of weight - abdominal pain
  • 3. 3.Past Medical History No 4. Past Medication History - No 5. Social History - No
  • 4. Sr. no Parameter Result Normal Range 1 Serum cholesterol 224.0 mg/dl 200 mg/dl 2 Serum triglyceride 237.0 mg/dl 150 mg/dl 3 Cholesterol /HDL ratio 5.9 4 SerumHDL cholesterol 31.6 mg/dl 5 serum LDL cholesterol 133.4 mg/dl 6 LDL and HDL ratio 4.2 7 Fasting blood glucose 175 mg% 80- 100 mg% 8 Post pradial blood glucose 236 mg % 100-120 mg% 9 Urea creatine 200 10 Urea albumin and urea creatine ratio <30 OBJECTIVE DATA: 1) Systemic examination:- B.P - 128/78 mm/hg Pulse Rate- 66/min Temp- Normal 2) Biochemical Tests
  • 5. 3)screening for complication of diabetes : Eyes :retinal examination did not reveal any micro- aneuysms,hammorhages,exudates,neovascularistion or other evidence of diabetic retinopathy Kidneys : microalbunuria present,needs follow up Nerves : no significant evidence of sensory or automatic neuropathy Blood pressure : hypertensive E.C.G :resting E.C.G normal no evidence of cardiacautonmic involvement P.V.D : Doppler studies reveal ankle brachial pressure index right nd left to be more than one.no signifivant evidence of P.V.D Remarks : evidence of micro angiopathy.
  • 6. Sr.n o. Brand Name Generic Name Dose Frequen cy 1 Tab. Flamace P Aceclofenac Paracetamol 500mg, Aceclofenac 100mg B.D. 2 Cap. Rabinem D Rabeprazole, Domperidone Rabeprazole 20mg, Dompeidone 30mg O.D. 3 BRUGEL Flubriprofen topical TREATMENT : DAY 25/07/2016
  • 7. ADVICE Avoid weight lifting PHARMCIST INTERVENTION Patient Counselling Maintain Normal Body Weight Exercise Regularaly Avoid rapid hand movements Avoid lifting heavy objects