Posts

ULCER to CKD

Image
  A 50 YR OLD MALE PATIENT CAME TO THE OPD with chief complaints of — • Low backache since 1 week • Loss of appetite since 1 week • Facial puffiness since 1 week • Shortness of breath (class-III) since 1 week  HISTORY OF PRESENTING ILLNESS Before 20yrs- ACCIDENT- BULLOCK CART RAN OVER HIS ABDOMEN -SURGERY- SPLENECTOMY , 4 PRBC TRANSFUSION • In 2019– • The patient was apparently a symptomatic two years back when he had an injury to the DORSUM of the RIGHT FOOT leading to ulceration. • He went to the local hospital for the same and on doing some investigations he was found to be anaemic (5- HB). He was then referred to Khammam as they could not treat him locally. • In Khammam, on further investigations – RFT, USG he was told to have a kidney infection due to SEPSIS from the ULCER.(?AKI due to SEPSIS) • There he had 4 PRBC transfusion and complete debridement of the ulcer along with graft placement.(SPLIT SKIN GRAFTING) October, 2021 –  • he was apparently alright when he developed- FEVER
Post a Comment
Read more

CKD 2° AKI due to SEPSIS

Image
 The patient came to the opd with the chief complaints of -  LOW BACK ACHE SINCE 1week  LOSS OF APPETITE SINCE 1week  FACIAL PUFFINESS SINCE 1week  SHORTNESS OF BREATH (grade-III) HOPI-  Before 20yrs- an accident leading to splenectomy. 2019- The patient was apparently asymptomatic 2yrs back when he had an injury on the Dorsum of right foot leading to ulceration.  He went to the local hospital for the same and was found to be anemic (Hb-5.3). He was then referred to Khammam.  In Khammam- they found out the was some derangement in the kidney from USG, RFT. He was told to have a kidney infection due to sepsis from the ulcer.  He was discharged in a couple of days.  October,2021-  He was alright until 2months back, when he developed- FEVER, COLD, PEDAL EDEMA(PITTING TYPE), WEAKNESS. He was taken to a hospital in Suryapet He was diagnosed with CKD and HYPERTENSION.  There, 1unit PRBC transfusion and complete debridement of the ulcer was done. He was given medication for the deranged kidney
Post a Comment
Read more

Generalised body swelling

Image
 AMC 1st bed A 70 yr old male farmer came to the OPD with the C/o- SOB since 10 days- ORTHOPNOEA. ,PND. , since 10 days Decreased urine output since 12days Scrotal swelling since 12 days Generalised swelling of body since 12 days Facial puffiness since 12 days C/o constipation since 12 days (passing stools only on medication) patient was apparently alright 1 yr back When developed -  Cellulitis of right lower limb (due to DM-II) On 15/10/21 -  He developed swelling of the right leg till the knees and facial puffiness, for which he visited doctor and was treated for the same and it subsided later on.  On 16/10/21-  on usg - mild left pleural effusion On 15/11/21-  Generalised body swelling, scrotal edema,  decreased urine output and after 2 days SOB  ON 16/11/21-  He visited the doctor and  on usg - scrotal wall cellulitis RBS- 279 Blood urea- 97 Raised serum creatinine-3.6mg/dl  Serum Utica acid- 7.6mg/dl LFT- within normal range, albumin-3.5 He was treated with-  Inj.cefaoish (cefoper
Post a Comment
Read more