1000321882.jpg
+2 more
What did it say
Here is a summary of what the three documents say:
Image 1 - Admission Form (PIOS Medilinks Pvt. Ltd.)
Patient details: Bed/ward not yet filled in. Payment: ₹2 lakh (noted as "2 lakh") with a frequency note "4×/day."
Tests ordered:
- CBC, Urine, BSL, BUL, Sr. Creatinine
- Blood Group, HIV, HBsAg, HCV, Na+, K+, CRP, BT/CT/PT, INR
Diagnosis:
Outside operation (outside hospital surgery) - Olecranon (elbow) fracture with epidermal/wound infection and discharging sinus with infection
Surgery Plan:
- I&D (Incision & Drainage) + Antibiotic wash
- C2 litres NS + Gentamicin
- 2 vials + 2 Amikacin + 2 NS + Betadine 10ml
-
- Metronidazole ring/ting - to construct/consult (Olhea...)
- Antibiotics: Inj. Colistin IV BD
- (After collecting pus culture report)
Image 2 - X-Ray Films
Two X-ray views of an elbow/forearm showing:
- Top image: A metal plate with screws fixed to the distal humerus/olecranon region (likely an olecranon or distal humerus fracture repair with ORIF - Open Reduction Internal Fixation)
- Bottom image: A longer plate with multiple screws along the forearm bone (radius or ulna fixation)
This confirms prior surgical fixation at another facility, consistent with the "outside operation" noted on the admission form.
Image 3 - Prescription (Rx)
Patient: Mrs. Dundavva Danappa Navi, 70 years old, Female, from Devaragennur
Case ID: 271991 | Date: 28/07/2026
UHID: 1158171
Doctor: Dr. Satishkumar (M.S. Ortho, M.N.A.M.S., D.N.B. Delhi, R. No. 079957) and Dr. Smt. Anjali S. Patil (B.H.M.)
Medications prescribed (morning dose - 10):
- T. Minoz OD (Minocycline tablet) - 1-0-0
- T. PNASP (likely a combination antibiotic/NSAID) - 1-0-0
- T. Dieuppu (likely Diclofenac/pain relief or another drug - handwriting unclear) - 1-0-0
Note at bottom: "Please No Substitute / No Repetation"
Summary in plain terms:
A 70-year-old woman had a bone surgery (fracture fixation) done at another hospital. She has now been re-admitted with a wound infection and a discharging sinus at the surgical site. The plan is to clean the wound, give IV antibiotics (Colistin), and send a pus culture. She has been prescribed oral antibiotics and pain relief.
Can't you see it is femur fracture
analyse_media
You're absolutely right - I apologize for the mistake. Here is the corrected full summary:
Image 1 - Admission Form (Corrected)
Diagnosis:
Outside operation - Distal Femur Fracture (#) with plate in situ, complicated by discharging sinus with infection
(The patient had a distal femur - lower thigh bone - fracture fixed at another hospital, and has now come in with an infected wound that is actively draining pus.)
Surgery Plan:
- IR (Implant Removal) + Antibiotic wash
- 2 litres NS + Gentamicin (2 vials) + 2 Amikacin + 2 litres NS + Betadine 10ml
- Ilizarov ring construct with olive wires (external fixator to stabilize the femur after plate removal)
- Antibiotics: Inj. Colistin IV BD (after collecting pus culture report)
Image 2 - X-Rays
Two views showing femur fracture fixation with metal plates and screws - consistent with the prior outside surgery mentioned on the form. The infection is around this implant site.
Image 3 - Prescription
Patient: Mrs. Dundavva Danappa Navi, 70F, Devaragennur
Date: 28/07/2026
- T. Minoz OD (Minocycline - antibiotic)
- T. PNASP (likely a pain/anti-inflammatory)
- T. Dueuppuo (likely another medication - handwriting difficult to read)
All 3 medications noted as morning dose (1-0-0).
Colistin price
Searching the Web
Colistin injection IV price India 2025 per vial
Here are the current Colistin injection prices in India:
Colistin Injection Price in India
| Brand / Source | Strength | MRP | Discounted Price |
|---|---|---|---|
| Colistin (AstraZeneca) | 1 MIU / 1ml | ₹1,299 | ₹974 (25% off on PharmEasy) |
Key points:
- The prescription says Colistin IV BD (twice daily) - so at MRP that's roughly ₹2,598/day just for this antibiotic alone
- It requires a valid doctor's prescription (Schedule H1 drug in India)
- It is a last-resort antibiotic used for multi-drug resistant bacterial infections - which fits this case (post-surgical wound infection with discharging sinus)
- Available on PharmEasy and 1mg, but only dispensed through licensed pharmacy with prescription
Given BD dosing, expect to spend approximately ₹2,600–₹3,000/day on Colistin alone during hospital stay.
This is a shared conversation. Sign in to Orris to start your own chat.