S. No. |
Date of Events |
Consultation |
Findings |
Suggestions |
1 |
March 28, 2022 |
Emergency |
Dizziness and syncope, large fragile mass present over the chest. Echocardiography revealed myxoma in the left atrium and mitral valve regurgitation. |
Inj. heparin- 5000 units/ml TDS, Tab. Cardivas 125 mg BD |
2 |
April 4, 2022 |
Surgery |
Atrial myxoma excision with mitral valve repair, patient on the mechanical ventilator (positive end-expiratory pressure-5 cm H2O, FiO2-50%). CT Brain revealed encephalomalacic changes in the cerebellar hemisphere. |
Inj. ceftriaxone 1 mg BD, Inj. amikacin 500 mg OD, Inj. paracetamol 100 ml, Inj. ondansetron 4 mg, Inj. tramadol 50 mg, Inj. pantoprazole 40mg OD |
3 |
April 5, 2022 |
Physiotherapist |
Pain near the incision, breathing difficulties, and trouble keeping one's balance and coordination. |
Nebulization, chest physiotherapy and suctioning, ankle foot toe movement, rolling facilitation, and transition training |
4 |
April 18, 2022 |
Discharge |
Improvement in balance and coordination. |
Coordination training, strengthening exercises, gait training, and fine motor training, patient was discharged with a proper home exercise program. |
5 |
May 2, 2022 |
Follow-up |
The patient came walking by herself and there was an improvement in her gait pattern. |
Strengthening exercises, gait training, and fine motor training continued. |