CKD 2° AKI due to SEPSIS

 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 function(apparently due to the infection of the foot- ?aki) and his anemia. 

Medication- inj.erythropoietin, tab.nodosis, tab.vit D3, tab.neurobion forte, tab.paracetamol.

The symptoms subsided in 3-4 days. They continued the medication for 1 1/2 month and didn’t know whether to continue the medication or not.

15/12/21- 

After a a couple of days of stoppage of the medication I.e. a week back he developed(15/12/21) - low backache, loss of appetite, sob grade-III, facial puffiness, pedal edema. 


Examination- 




Investigations- 















DIAGNOSIS- 
CKD ON AKI DUE TO SEPSIS.

TREATMENT- 

Tab.LASIX 40mg TID

Tab.NODOSIS 550mg OD

Tab.SHELCAL 500mg OD

Tab.OROFER-XT OD

Tab.NICARDIA 20mg BD

Inj.ERYTHROPOIETIN 4000IU S/c

Inj.IRON SUCROSE 1amp in 100ml NS

FLUID RESTRICTION <1L/day

SALT RESTRICTION <2.4gm/day


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