50 yrs f presenting swelling whole body = 5-6 months no dm or htn



- Severe HYPOTHYROIDISM, with URICEMIA with UTI with with Mild Renal Parenchymal Disease--- - Urea, BUN, Creatine--> Slightly Raised--- Plenty of Pus Cells--> 20 -25--- ESR - 58, Raised, N- 86%, Bcoz of UTI? - PROTEIN restricted diet--- - Eltroxin 25 ODAC, at starting dose---> increasing slowly - Febutas 40, ODPC, at HS, (if Symptomatic)--- - Cefixime 200, BDPC for 10days - Nephrosave forte at HS--- - Adv. BS(PP)---

Hypothyroidism. Ac. UTI, AKD. Start Thyroxin at 100mcg odac then gradually titrate the dose, treat UTI with quinolone/ Nitrofurantoin + alkali, USG thyroid, biopsy, anti thyroid antibody, 2D- ECHO, x-ray chest, urine CS etc

This female patient with such high levels of TSH definitely requires Thyroid Replacement therapy alongwith Anti- TPO and Thyroglobulin antibodies....KFT is also deranged...need to know kidney size....treat acute UTI with Nitrofurantoin and go for conservative management

Pt seems to be hypothyroid with uti Rule out sepsis as total count of 13,000 Control uti with urine culture and sensitivity and appropriate antibiotics. Renal friendly antibiotics must. Urea and creatinine raised , HB normal level May not be a case of ckd. Do USG abdomen to see kidneys size and any renal stones which can cause urine stasis and finally uti. Start T.eltroxine at 150-200microgram Review after six weeks and u can decrease or increase dose.

Hypothyroidism with UTi Start Levothyrixine1.6mcg/kg bdywt KFT altered so kidney friendly antibiotics for UTi.Anti-Tpo antibodies ;Thyroglobulin antibodies,freeT3&freeT4;lipid profile, USG abdomen to b done Adjust d dose after 45days after repeating Thyroid profile

Pt. have hypothyroidism. Do Antithyroid antibody. USG of Thyroid. Pt. Require thyroid replacement therapy. And Regular follow up examination and according Titret the dose.

Treat hypothyroidism Treat uti USG abdomen with PVR ECG echo

Hypotiroidism, megaloblastic anemia, UTI, Aki secondary to first diagnosis

1.6 mcg/kg of levothyroxine. Anti TPO antibodies. Examine for goitre. Possibly pernicious anemia leading to B12 deficiency causing macrocytosis. Inj. Optineuron I.M. daily for a week, weekly for a month, and then monthly

Its a case of hypothyroidism.

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