A 59 yr female came with c/o of high grade fever with chills and gen weakness and mild chest pain with swetting since morning. K/c/o HTN & T2DM on treatment. Investigation are done hb, 6.9. Urine pus cells 60-80, epithilial cells 6-8 and albumin + Bp 94/68. Ecg done & atteched kindly advice

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?Diabetic Nephritis Urine culture and sensitivity Antibiotics, paracetamol, hematinic

Thanks Dr. Shivraj Agrawal, Dr.Dinesh Gupta
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S.Tachy Pt is in UROSEPSIS

History and lab is suggestive of UTI ECG is WNL Check urine for c&s Rx inj ceftriaxazone Inj lenazolinid Inj paracetamol Inj lasix Rest supportive treatment Monitor bsl frequently and modify antidiabetic as monitoring reflects

Thanx dr Wagish Mishra
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ECG TRACING SHOWS SINUS TACHYCARDIA ,,REST WNL SEVERE ANEMIA++ UTI WITH PYELONEPHRITIS HYPOTENSION DIABETIC NEPHROPATHY SEND, URINE FOR C/S USG WHOLE ABDOMEN IMMEDIATE ADMISSION & URGENT BLOOD TRANSFUSION BS ANTIBIOTICS IV IV PPI IV PCM STRICT GLYCEMIC CONTROL WITH OHA & INSULIN IV FLUID WITH MVI MONITORING OF TPR/BP/IO/SPO2 HGT 04 HOURLY

THANKS & WC @Dr. Shivraj Agarwal SIR 🙏
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Sinus tachycardia Old inferior MI Anemia

Uti Urine for culture and sensitivity Sinus tachycardia Anaemia