NEPHROTIC SYNDROME WITH TYPE -I DM, HYPERTENSION,RIGHT PLEURAL EFFUSION

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment


A 20 yrs old female who is a house wife was brought to the casualty with the C/O decreased urine output since yesterday 

Swelling all over the body since 4days

History of presenting illness:

Patient was apparently asymptomatic 2 months back then she developed swelling of both legs and face, and got admitted in the hospital got treatment and discharged.4days back she had no urine output and swelling all over the body.

Past history:

K/c/o T1DM

On examination

Patient is conscious coherent and cooperative

Vitals:

Temp-afebrile

BP-160/80mm hg

RS- BLAE+

PR- 105 bpm

Cns- nad

Cvs S1S2 +

P/A- nontender and soft

Investigations:

On 22/5/22

CUE




22/5/22

On 22/5/22
23/5/2

On 24/5/22







On 24/5/22



On 24/5/22



Treatment:



 Inj LASIX 60mg BD IV
Inj TAXIM 1mg / BD IV
Tab. DYTOR 20mg po od
Tab. TELMA 40 mg po od
Inj ERYTHROPOITIN 4000 units
Inj sol insulin 8units 6th hourly

Tab.NICARDIA 10 mg PO BD

Strict I/O charting

IV albumin given @2 am



http://tejasree25.blogspot.com/2022/04/nephrotic-syndrome-with-type-i-dm.html

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