Results 1 to 6 of 6

Thread: Urinary case.!!

  1. #1
    Join Date
    Nov 2007
    Location
    India
    Posts
    1,053
    Rep Power
    0

    Lightbulb Urinary case.!!

    This is an eighteen year old female who presents with worsening headache and shortness of breath for two days. She notes fatigue and general malaise that has been worsening despite her attempts to rest. She is now short of breath walking around the house. The patient was ill ten days ago with rigors, body aches, fever, and sore throat but this resolved after five days. She had then been well with none of these symptoms until two days ago. She is nauseated with a decreased appetite. If asked she will admit to decreased urine output and a reddish brown urine.

    PMHx: Unremarkable. The patient was an athletic, healthy individual.

    PSHx: None

    Meds: None

    Social: In senior year of high school, living with parents. Denies ETOH or illicit drug use.

    Allergies: None Known

    Physical Exam:

    The patient is a well developed, but ill appearing young female. She is in no acute respiratory distress.

    BP = 165/115 pulse = 125 rr = 30 temp = 97.8 degrees F (orally)

    Room air pulse oximetry = 91%

    Skin: Moist with no lesions or rashes

    HEENT: NC/AT

    EOMI, PERRL,Funduscopic exam is normal

    TM's are clear

    Mouth/Pharynx are clear and moist. No evidence of exudate, or swelling

    Neck is supple with no masses and a normal thyroid exam.

    JVD is present to 2cm above the clavicle with the patient at 45 degrees

    Cardiovasc: Tachycardic rate with no rubs, murmurs or bruits

    Respiratory: Equal air excursion with rales 1/3 of the way up both lung fields

    Abdomen: Normal bowel sounds, no masses

    Liver is slightly enlarged and mildy tender

    Rectal exam is normal and the patient is negative for occult blood

    Pelvic: Normal external genitals, normal exam

    Extremities: 2 plus pitting edema of the lower extremities

    Neuro: The patient has a non-focal neurologic exam.

    Labs:

    ECG: regular sinus tachycardia with a rate of 130. The PR, QRS, QT, and QTc intervals were normal. The T-wave is normal.

    Chest radiograph: Acute pulmonary edema

    ABG (room air): 7.25; pCO2=19; pO2=80 (metabolic acidosis and respiratory alkalosis).

    Na= 135 mEq/L, K=5.5 mEq/L, Cl=105 mEq/L, Bicar=16 mEq/L, BUN=50 mg/dL, creat=4.6 mg/dl, Glu=110 mg/dl. WBC= 15k, Hct 32, Plt = 215

    Urine= 3+ protein, large blood, ketones are trace, and there are 20-30 WBC, and 60-70 RBC per high powered field. Red blood cell casts are present.

    [HIDE]The above case is one of acute glomerulonephritis secondary to the streptococcal infection the patient had ten days ago. She is now sufferring from the complications of acute renal failure. This case was reasonably straight forward, but unfortuantly not all cases are as clear. [/HIDE]

  2. #2
    Join Date
    Oct 2007
    Location
    INDIA
    Age
    34
    Posts
    192
    Rep Power
    12

    Default

    ETOH?, can i say it as nephritic syndrome?

  3. #3
    Join Date
    Nov 2007
    Location
    India
    Posts
    1,053
    Rep Power
    0

    Default

    Charecteristics of nephritic syndrome,you remember? I doesnt match completely.! Rather it can be called acute renal failure.! In my opinion.!

  4. #4
    Join Date
    Nov 2007
    Location
    India
    Posts
    1,053
    Rep Power
    0

    Default

    Its any drug or alcohol abuse i think. Dont know perfectly.!
    Will try to find out.!

  5. #5
    Join Date
    Feb 2007
    Age
    33
    Posts
    8
    Rep Power
    0

    Default

    I think it is acute glomerulonephritis leading to acute renal failure.
    Last edited by rangineni chaithanya; 12-12-2007 at 03:22 PM.

  6. #6
    Join Date
    Nov 2007
    Location
    India
    Posts
    1,053
    Rep Power
    0

    Default

    Quote Originally Posted by rangineni chaithanya View Post
    I think it is acute glomerulonephritis leading to acute renal failure.
    Thats right .! congratulations.!

Thread Information

Users Browsing this Thread

There are currently 1 users browsing this thread. (0 members and 1 guests)

Similar Threads

  1. urinary incontinence case
    By Wolverine0 in forum Clinical Cases
    Replies: 2
    Last Post: 07-05-2008, 09:06 PM
  2. Urinary Infection
    By yizel in forum Students' HangOut
    Replies: 3
    Last Post: 03-18-2008, 10:37 PM
  3. urinary system
    By jamesmayur in forum Lecture Notes
    Replies: 0
    Last Post: 01-15-2008, 09:15 PM

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •