nephrology, infectious disease, hematology
Three yr old male child brought by relatives with edema over whole body, lack of interest in playing , decreases ओरल intake since three month Lab:: Hb 4.,WBC..Total 12000 .N-50,L45,E-2,M-3. Platelets-11000.blood group positive.CRP-1:8dil..Urine-Protein..++++,pus cells1-2/hpf RBC 00/hpf. Sr total protein..4.4gm/dl. Sr alb1.8. Dr globulin 2.6. HIV _be BUL 25mg/dl. Dr cret.6mg /dl. Widal..s'typhi O.. 1:320 S'typhi H01:80. Serum vit D3= 9.19ng/ml. USG ABD....bil renal swelling with mild increase in renal cortical echo,s/o changes of nephritis.minimal ascitic fluid in abd. Clinically..... Severe Anaemia, with gen ana sarca with hypoalbuminia, with ptoteinurea ....MCNS...minimal lesion nephrotic syndrome..... Serum cholesterol awaited. Case open for clinical discussion and management. 24hr urinary pr is awaited.
Nephrotic syndrome with anemia renal failure with hypovitaminosis D Renal biopsy spot urine protein creatinine ratio Management diuretics Packed cell Transfusion Albumin transfusion Oral steroids
Platelet ::611000, instead of 11000,reported,pl note.
Cases that would interest you
- Login to View the image
عزت وجدى 3 years old male Bl pr 99/75 mmhg Please for diagnosis and ttt Thanks
Dr. Abd Elnasser Badawy0 Like21 Answers - Login to View the image
Which of the following is not a feature of Nephrotic syndrome: A. Albuminuria B. Hyperlipidemia C. Edema D. Increased urine out put
Sushmita Haodijam0 Like16 Answers - Login to View the image
50 year old female with swelling of both upper eye lids for 10 days with redness,no h/o pain/conjunctivitis/pedal edema, /allergy/drug intake/BP normal pic attached please give diagnosis and treatment
Dr. Navajit Hatibaruah0 Like15 Answers - Login to View the image
A male pt aged 55 yrs c/o mild abdominal pain with pedal oedema since more than 2 yrs accompanying with generalised weakness.... Consulted with many physicians n surgeons but no relief..... What is the diagnosis n how to manage no h/o Dm or Ht
Dr. Prashant Panchal1 Like20 Answers - Login to View the image
1 1/2 yrs ,MCH,s sugarcane's cutter by occupation,noticed swelling increased over daytime since 8 days hands ,wrist ,foot,ankle ,legs lethargic @Dr. Pruthviraj Pruthviraj
Dr. Jitendra Chavan2 Likes23 Answers