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254-Adile Kuram/46/Aa/Antep/Ev Hanim/11.11/HBSAG+/Dicle Hanimin Yakinı 7 aydir MG tanisı olan hastanın ilk tanı aldiğında baş ağrısı,cift görme, yutmada güçlük, konuşmada bozukluk şikayetleri varmış.5 gün pulse tedavisi almış.tedaviden fayda görmüş. 2 hafta sonra 1 defa daha pulse tedavisi (?) almış.mestinon tedavisi başlanmış. Hastanin enfeksiyon değerlerinde yükselme olmuş. 2li ntibiyotik tedavisi reçete edilmis. Hastanın yorulduğunda çift görme şikayetleri varmış. Hastanın sol tarafinda uyuşma şikayeti de oluyormuş Ög:dm,ht;hplkag(stent-), Ki: mestinon, ecopirin100, lantus, lipanthyl, diltizem, glifix, fortevir, monoket, alipza, betanorm Nm: bilinç açık oryante koopere konuşma doğal Dispne:- disfaji:- Ir:++/++ göz hareketleri her yöne doğal Kg:5/5 hipoestezi yok py:f/f TEK NEFESTE 20 YE KADAR Yat rut: hba1c:14 prk: crp:86.27 üre:33 cre:0.83 total protein:62 albümin:30 wbc:6.86 hb:9.7 (08.11 12.1) 11.11 enfeksiyon kons: kontrol hbv dna görülmesi, afr yanitı olan genel durumu7 düzelen hastanın mevcut tedavisinin devamı, hastadan gaita da parazit rota adeno clostridium gaita kx parazit antijeni görülmesi, kan kx görülmesi, covid per,solunum paneli alınması, 12.11 Endokrin kons: 4*1 kş takibi yapılması insulin gralgin 1*18 iu yapilmasi gece 03.00 kş bakılması insulin aspart

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