Albuminuria

A 61 yrs old woman h/o.burning micturation since from last 10 days with burning sensation in palms and soles of feet,known diabetic patient from 15yrs, with hypertension and hypothyroidism. On examination ,albumin++,and 0.1 percent raise in creatinine found in lab test.

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Send urine culture Start tab cefixime plus oflox 1bd for 7 days Urine protein creatinine ratio and eye fundus examination Start tab telma for proteinuria once patient is improved from uti Get usg kub to rule out obstruction or renal stone n kidney size

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Diabetic Nephropathy & Peripheral Neuropathy Control of DM, HTN & Hypothyroidism with appropriate medication. Methylcobalamin +Pregabalin +Nortryptiline for neuropathy. Urinalysis & c/s of urine to r/o UTI. Treat UTI with sensitive antibiotics.

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This is diabetic neuropathy with diabetic nephropathy with CKD & go for urine culture sensitivity test with prostrate examination. For albumin in urine if patient is of hypertension then start with ramipril

? NEPHROPATHY.. UTI.. ? DIABETIC.. NEPHROPATHY WITH.. NEUROPATHY.. NEED'S.. HEMOGRAM.. BSR..HBA1C.. URINE ROUTINE AND..C & S EXAMINATION.. KFT.. USG STUDY ABDOMEN..

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Agree with Dr.@Sandip Debashis Mishra sir and Dr.@Jitendra Rajput sir

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Adv. For LFT AND KFT FOR FURTHER INVESTIGATION ABD B.S. LEVEL SHARE THESE REPORTS

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