Post infectious glomerulonephritis

-

                This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. 

Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. 
This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome.

Here is a case i have seen:

65 yr old male patient ,Farmer by occupation ,who was apparently asymptomatic 3 months ( August) back then he developed B/L lower limb ulcerative lesions for 5days,lower limb swelling , decreased urine output, hematuria and vomiting for 2 days.So he went to a hospital in Hyderabad, then did some investigations below.


Renal biopsy was done on 18/08/20 under local anaesthesia
His autoimmune profile showed c3-low,c4
There he underwent hemodialysis thrice a week for 2 months(Total 24 dialysis)
Last month he went to a hospital in nalgonda for dialysis there 14 dialysis were done for a month.
Now he came to hospital on 27/10/20 with 
complaints of pedal edema since 3 days
Complaints of decreased urine output since 2 days

 Pedal edema ,which was gradually progressive, pitting type,aggregated on work .
No history of burning micturition
No history of jaundice
No history of sob  

PAST HISTORY:
     Not a k/c/o HTN,DM,TB,asthma, epilepsy,CVA.
FAMILY HISTORY:
      No significant family history.
DRUG HISTORY: H/O NSAID usage once or twice a month.
PERSONAL HISTORY:
               No H/O significant alcohol intake,smoking.
O/E : 
Pallor +
Icterus -
Cynosis -
Clubbing -
edema -
     Patient is C/C/C
VITALS: TEMP: AFEBRILE ON TOUCH
               BP:140/90MMHG
               PR:98bpm
               RR:22 cpm
               SPO2:97%
INVESTIGATIONS:
ECG
USG
TREATMENT GIVEN:
          Dialysis was done on 1/11/20
  1. T.NICARDIA 10mg/po/TID
  2.  INJ.LASIX 40mg/IV/BD
  3.  T.NODOSIS 500mg /po/BD
  4. T.SHELCAL 500mg/po/OD
  5. T.OROFER XT /po/BD
  6. T.PAN 40mg/po/OD
   7. T.ALPHA D3/po/OD
            



#c3#h8#a1#n#d4#r#i9#a1#h8#

Comments

Post a Comment

Popular posts from this blog

QI PROJECT- IMPROVING POST-GRADUATE RESEARCH PROJECTS

-
Image
We, from the Department of General Medicine, at Kamineni Institute of Medical Sciences made high-quality research our top priority. Research within the field of General Medicine is crucial for advancing medical knowledge, improving patient outcomes, and implementing evidence-based medicine in practice. In our department, several research projects are currently underway, addressing a wide range of clinical issues. However, the effectiveness and efficiency of ongoing research projects can be significantly influenced by organizational and procedural frameworks within a department. Despite the commitment to high-quality research, various challenges have been identified that may hinder the successful completion and impact of these projects. The main challenge was insufficient research knowledge among post-graduates conducting the research. Their research needs improvements in terms of organizing the collected data and defining objectives and methodology to initiate with. Further improvement...
Read more

CLINICAL NEUROLOGY: THEORY TO PRACTICE-Teaching course

-
Image
 Teaching course-          “ CLINICAL NEUROLOGY”          “THEORY TO PRACTICE ” A well-organized teaching course in neurology was designed by me with the help of my fellow senior residents (Dr. Shashikala, Dr. Manasa, Dr. Pradeep, Dr. Vamshi, Dr. Manoj, Dr. Gouthami) with the support of our beloved HOD, Dr. Rakesh Biswas.  The main aim of this teaching course is to create interest among postgraduates in learning and teaching aspects of neurology. I planned to teach them on how to convert theoretical knowledge in neurology into practice.  I organized the course in such a way that each theory/seminar topic is followed by a relevant case presentation and journal. Postgraduates are trained in the theoretical aspects of the topic in the first class, and in the second class, the main focus is on examination techniques, making differential diagnoses, how to order appropriate investigations, and discussions on the management plan....
Read more

51 year old male with gaze palsy

-
Image
 NEUROLOGY DIARIES: 51 year old male ,Carpenter by occupation came with the chief complaints of  Inability to look at bright lights (R eye>Left eye) since 6months Decreased eyeball movements and slowing of activities since 6months Low volume of speech since 6months Stiffness of right upper limb since 6months HOPI:Patient was apparently asymptomatic 6 months ago.Since 6months patient has c/o inability to look at bright lights,Photophobia since 6 months,more in right eye compared to left eye associated with watering from eyes on sun exposure,not associated with redness of eyes or pain in eyes.No c/o discharge,burning sensation of eyes.c/o diplopia on looking at objects occasionally. Patients wife notices that patient has decreased eyeball movements in both eyes and patient is turning his entire head to look sideways and above and downwards. C/o slowness of activities with right upper limb such as eating and combing hair since 6months.Patient is taking food to the mouth slowly...
Read more