1 1/2 yrs ,MCH,s sugarcane's cutter by occupation,noticed swelling increased over daytime since 8 days hands ,wrist ,foot,ankle ,legs lethargic @Dr. Pruthviraj Pruthviraj
1.5 yrs 7.9kg economically poor Normal urine R analysis S. creatinine N SGPT N Hypoalbuminimia Pathetic look & irritable Diagnosis is PEM Kwashiorkor Plz get CBC & anthropetric measurment R/o bacterial infection elsewhere Mgt Tt of infection HPD Iron supplements Multivitamins nd trace elements Parental Counseling
Dear Doc. Give proper history. Wher did the swelling start ? What r the associated history ?? Any positive renal or cardiac or liver or nutritional history ?
Allergic dermatitis
Nephropathy??? Anaemia?? Ascites??? Elephantitis??? Obstructive lymphadenopathy ??? Local allergic dermatitis ??? Thyroid function test Ascites with hepatitis and renal involvement
PEM... KWASHIORKOR PEM may be secondary to renal disease. Should be investigated in that direction.
Why you have not described the skin changes over lower limbs and scalp hair changes like Pigmentation, Pluckable, loss of luster/ oily etc ?
Allergic dermatitis (urticaria )
PEM, KWASHIORKAR
Nephrotic syndrome. Advised CBC, urine , liver kidney and thyroid profile.
Cases that would interest you
- Login to View the image
15 yr male pt suffering from swelling over face n leg...n pitting type of edema present plz Tel me diagnosis n treatment
Dr. Bhaskar Pawar61 Likes290 Answers - Login to View the image
DD generalised OEDEMA since 6 months?investigations? rx
Mahesh Vemavarapu2 Likes13 Answers - Login to View the image
a 5 year old female child. oedema pedal, hand,face. can not speak, walk,sitting. anorexia. mild yellow eyes.
Dr. Naran Santoki12 Likes41 Answers - Login to View the image
young female with white nails Differential Diagnosis
Dr. Neki Yadav3 Likes28 Answers - Login to View the image
A 22yr female came with c/o fever,anoraxia,headache,malaise etc. on examination i have seen severe pitting oedema on face,lower limb,and on abdomen spot dx and rx
Dr. Salim Rajpura10 Likes33 Answers
2 Likes