Tag: Case Representation

Septic Shock Fluid Therapy – Bedside Metrics

A male patient in the hospital.

A 49 year old male patient was brought to Aster Hospital on 26th November 2017 upon feeling uneasy and passing loose stools.

Comorbids were – Hypertensive on Tab Bisoprolol 2.5 mg OD, Dyslipidemia on Tab Atorva 20 mg HS. Continue reading “Septic Shock Fluid Therapy – Bedside Metrics”


Spontaneous Hemoperitoneum in Pregnancy From a Ruptured Superficial Uterine Vessel

29yrs old Primi at 24 weeks of pregnancy was brought to the emergency by ambulance in shock with complaints of sudden onset of epigastric pain and dizziness. There was no complaint of bleeding per vaginum.

The patient was resuscitated and urgent ultrasound was done which revealed massive hemoperitoneum with intra uterine fetal death. Emergency laparotomy was done through midline vertical incision (with differential diagnosis of ruptured uterus, abruption, non-obstetric causes of bleeding) with arrangements being made for blood and blood products. Laparotomy findings were as follows;

1. Hemoperitoneum 4 litre with clots. Continue reading “Spontaneous Hemoperitoneum in Pregnancy From a Ruptured Superficial Uterine Vessel”