15 yr male pt suffering from swelling over face n leg...n pitting type of edema present plz Tel me diagnosis n treatment
NEPHROTIC SYNDROME ANAEMIA AND HYPERPRPTEINEMIA CONGESTIVE CARDIAC FAILURE ANGIOEDEMA AND RENAL FAILURE ADV. �BC , SERUM PROTEINS, URINE FOR ROUTINE AND MICROSCOPIC EXAM. CONFIRM THE DIAGNOSIS FIRST AND TREAT ACCORDINGLY
Swelling around eyes, first organ to be looked is kidney for the cause, get CBC, Urine complete exam, lipid profile, Bl. Sugar levels, kidney function test, liver function test etc done. This seems a case of nephrotic syndrome...
Pls have a brief history of case sir eg ODP of swelling and associated symptoms, or includes a long list of d/d Nephrotic syn (prima facie) Sev. Anemia Anaphylaxis Hypoprotenemia Systemic disease(?ccf) Etc
Looks like nephrotic syndrome.What about Hb.& thyroid levels
Dr Ranjit Kumar Poriya Homeopathy C/O 15 yrs old male pt Swelling over Face. ~ Edema. Couse Edema: * Blood HB % Loss ~Anaemia after Spread Swelling all over Body & face. * Chronic UTI Infection Urine Culture Senscivity Test Urine growth . Pus Cells & Epithelium cells Present after Spread Swelling ~ Edema. * Small Pox. Chicken Pox Measle After Spread Swelling all over Body &Face ~ Edema. * Nephrotic Syndrome ~ Kidney Infection Renal failure. ~Edema. *Thyroid Fever After Liver Function Damage After Spread Edema. * Skin Disease Excessive Taken Oint Lotion. After Spread Swelling Face. ~Edema. So Doctor Details Case History Need Require Investigation After Treatment Best Management Doctor. * LFT. * Kidney Profile. * Urine For RE. * Urine Culture Senscivity Test. * Blood HB%. * Serum Sodium. *Serum Potassium..
History needed in detail sir.. onset of edema ? Urine output ? Fever ?
It's seems to be Nephrotic syndrome . Possibly Hydronephrosis should be there. In investigation eGFR - s.creatinine & UACR is very much necessary along with other investigation. If along with puffiness pitching odema is present do complete cardiac investigation to rulled out cardiac etiology.
Nephrotic syndrome , anemia. , hypothyroidism RF , CCF and Auto immune Investigations CBP . F/lipid profile , RBS ,LFT ,RFT ,CUE Spot urine protein and creatinine ratio ANA , c3 complements u/s W/A 2d echo 24 Hrs urine protein and creatinine ratio
Detail history clinical exam. CBC, ESR. Urine RAnd M culture. Sr cholesterol serum protein and Albumin. Is cording to reports tt pt if Nephrotic syndrome. Treat completely. And according.
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