Please give your opinions and suggestions

[aklala]

I am putting down all the reports and treatment done so far. Kindly throw more light.

Patient: Dr. A K Lala; Male; 54 yr

(1) Patient was admitted to the hospital in unconscious state on 28th June 2004.
(2) At present patient is on ventilator support and deeply comatose.
(3) Treatment received:
Measures to reduce cerebral oedema
low mol wt heparin and aspirin
ventilator support from 29th June 2004
Dopamine drip
Insulin by use of syringe pump.
IV nutrition
Supportive treatment

Patient has left middle cerebral artery infarct .He is a known Diabetic. He has undergone CABG (5 yr back).

EEG report: This is an abnormal EEG report. It shows a poorly organised and unreactive cerebral activity. Please correlate with other clinical/ laboratory evidence.

CT scan report: A nonhemorrhagic infarct in the deep periventricular white matter in right fronto-parietal region, in the right MCA territory. Few lacunar infarcts in parietal periventricular white matter bilaterally. Bilateral maxillary and ethmoidal sinusitis.

Thankfully,
Dr. Panda

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