2 yr/m having burning micturition and redness on glans, irritated child TLC 20600 Urine sugar +++ RBS 540mg/dl pus cells present suggest daignosis, DM type 1?
This child is having type I diabetes, need to be treated with insulin C peptide level, Glutamic acid decarboxylase antibody, Insulin auto antibody, Islet cell cytoplasmic antibody --- will help in confirmation of autoimmune disease causing type I DM Absence of C peptide indicate absence of insulin production, typical of type I DM Urinary tract infection need to be treated with antibiotics Cause of urinary tract infection need to be evaluated, nearly 50% of children will have congenital anomaly as a cause of UTI commonest congenital anomalies are PUJ obstruction, vesicouretetic reflux, posterior urethral valve Kindly check for phimosis and acute balanoposthitis as cause of UTI
This child is having type I diabetes, need to be treated with insulin C peptide level, Glutamic acid decarboxylase antibody, Insulin auto antibody, Islet cell cytoplasmic antibody --- will help in confirmation of autoimmune disease causing type I DM Absence of C peptide indicate absence of insulin production, typical of type I DM Urinary tract infection need to be treated with antibiotics Cause of urinary tract infection need to be evaluated, nearly 50% of children will have congenital anomaly as a cause of UTI commonest congenital anomalies are PUJ obstruction, vesicouretetic reflux, posterior urethral valve Kindly check for phimosis and acute balanoposthitis as cause of UTI
He is type 1 diabetic start insulin and control the sugar and go for urine c&s and support with selective antibiotics preferably to be treated by pediatricians/diabetologist
BLOOD SUGAR FASTING PP, HBA1C, URINE C /S BLOOD C/S USG FULL ABDOMEN THYROID PROFILE RFT LFT TYPE 1 DM LEUCOCYTOSIS WITH UTI ANTIBIOTIC AS PER CULTURE REPORT PEDIATRICS OPINION
Juveline onset diabetes mellitus . Go for urine c/s . Start insulin n first line antibiotics with good gram negative cover.
T1 DM UTI. Sugg urine ketones. Hydration, insuline as per BSL, antibiotics for acute illness. GAD 65 antibodies and c peptide level.
Juvenile type 1 DM . Do urine ketones, hb1ac , ABG, electrolytes, C peptide level . Give fluid correction as per DKA protocol. Start insulin drip. Give IV antibiotics . Try to find the focus of bacterial infection. Better to be treated in consultation with paediatrician .
Juvenile diabetes. HbA1c, Urine culture, complete, especially ketone bodies. Start insulin control diabetes, antibiotics
Find out foci. May be UTI. No. Of pus cells per HpF. Urine and blood for ketone bodiesAnd HBA1c to rule out Diabetic ketosis.. Serum Electrolytes. Review all reports.
Do ABG,HbA1c, c peptide level.start insulin infusion .Give maintenance fluids as per DKA protocol. Watch for sensorium.send urine culture and start antibiotic
Cases that would interest you
- Login to View the image
Penile skin frequently involves in many skin disease. Presenting common skin diseases involving penis seen by me in 2018 (Figures 1-8). All of you know the diagnosis. Thank you.
Dr. Pankaj Jagirdar1 Like19 Answers - Login to View the image
Mr ,X ,known DM on oral antidiabetic drugs for the last 15/ years .He is obese .wt 83kg. He is not on regular follow up. He came to me for the c/o painful penile swelling ,sudden onset following the penial ,prepuse retraction ,which was not able to reduce back. He then developed the paraphimosis ,and was painful. He suffered for two days,it was reduced and patient become alright. Discussion: What is the reason for diabetics who often get this short of problem of paraphimosis.? How to avoid or prevent this mini complications of diabetic penis.? How to reduce it? what is the culprit cause of it? What is final solution. Hba1c ,monitoring is vital in preventing this complication ,discuss . Primary prevention of such complication if any ,please narrate. Erectile dysfunction due to pudental artery or penile artery plaque in DM may further complicate the Vascularity of glands penis due to paraphimosis and its stricture . Discuss the vital issues of intrinsic and extrinsic pressure of diabetic penis.
Dr. Elumalai Subbarayan1 Like13 Answers - Login to View the image
27yrs/M from IT field visited skin rash swelling n itching since a week on perpusal skin with cracks very painful, never exposed. Recently n newly detected his BSL 142mg/dl fasting n 263mg/dl pp. responded well with Ayurved line of management, but requested medicine opinion for being on Authentic Approach
Dr. Satish Sawale0 Like11 Answers - Login to View the image
45 M C/O such penile eruptions since 6 months redness in urethral orifice. painful and itching. white coating over glans penis. wife also have recurrent vaginitis DD??
Dr. Hemangi Pethkar3 Likes24 Answers - Login to View the image
A male aged 40 years having ulcers on prepuce, severe pain, difficulty in urination, unable to retract prepuce since 10 days, He is diagnosed as a fresh case of Diabetes . FBS 324 mg per dilution. Spot diagnosis and management.
Dr. Arjun Singh Shekhawat5 Likes21 Answers
4 Likes