Concluded Case

Diabetic Nephropathy With UTI

A 61 years old female Complains of sudden onset of shivering and generalized weakness with 2 episodes of vomitings K/c/o DM Please diagnose amd suggest treatment

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Concluded answer

Diabetic nephropathy with UTI Tab. Revlamer 400mg twice a day Tab. Norflox 400mg twice a day Sachet citrosoda twice a day Tab. Follic 5 mg once a day Tab. Nephrocap twice a day Gastric lavage should be done nd keep patient NPO for 48 hours then continue semisolid diet along with Tab. Avomine 25mg twice a day Tab. Becalm( chlordiazepoxide) twice a day Control hyperglycemia acc. To blood sugar levels

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? UNCONTROLLED DIABETES WITH.. DIABETIC NRPHROPATHY .. UTI .. NEED'S .. CLINICOPATHOLOGICAL EVALUATION WITH .. STRICT GLYCEMIC CONTROL WITH ANTIDIABETIC MANAGEMENT WITH.. INSULIN .. OHA .. ENDOCRINOLOGIST OPINION .. HEMOGRAM.. URINE ROUTINE AND..C &S EXAMINATION.. HBA1C.. KFT .. MEANWHILE TREAT WITH.. PPI.. ONDANCETRAN.. ZENFLOX-UTI.. SYMPTOMATIC T/T..

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Vomiting could be due to keto acidosis R/O COVID 19 by RT PCR HRCT thorax Further evaluation is required for diagnosis and treatment

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Diabetic nephropathy with UTI Tab. Revlamer 400mg twice a day Tab. Norflox 400mg twice a day Sachet citrosoda twice a day Tab. Follic 5 mg once a day Tab. Nephrocap twice a day Gastric lavage should be done nd keep patient NPO for 48 hours then continue semisolid diet along with Tab. Avomine 25mg twice a day Tab. Becalm( chlordiazepoxide) twice a day Control hyperglycemia acc. To blood sugar levels

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UTI wait for kft

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Inj NS 1000 Inj ondestron Inj pantoprazol Inj Ampicillin 1 gm iv AST stat and6 hourly Inj pcm so When vomiting stops Control DM Plenty of fluids orally Continue inj Ampicillin Tab pcm sos Tab Domperidon +pantoprazol If hypertensive add Angiotensin receptor blocker or angiotensin converting enzymes inhibitors+ Tab dytor Adv Cbc Hb1ac FBS RFT LFT Lipid profile Usg whole abdomen especially KUB

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Dm/ketosis/nephropathy/uti Go for usg abd Hrct chest Hb1ac Lft kft urine r Insulin with fluid management with antibiotics such as tazomac ampoxin

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Kindey calculi? Uterine fibroid?

? UTI with AKI Do Usg abdo pelvis May suggest ? Renal calculi Give iv fluid according to urine output and cardiac involvement or not... Tab nitrofurentoin 100mg bd

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It's could be post covid hemorrhagic brain development. Do take help of physiotherapist. I have seen number of case post covid like this...

Diabetic neuropathy with UTI...

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