13YR OLD GIRL WITH NEPHROTIC SYNDROME










This is online E-blog, to discuss our patient de-identified health data shared after taking her guardian's signed informed consent.

A 13years old girl who is a student studying in hostel located at annaram,came with complaints of Bilateral lower limb swelling since 15days. 
HOPI:Patient was apparantly normal 2months back and then she developed nausea and vomitings 4 episodes for 3 days.content food particles.Non bilious.Not associated with pain abdomen.No loose stools.Now since 15 days patient developed bilateral lower limb swelling initially till ankle and now progressed to generalised swelling with puffiness of face.

No history of SOB,No burning micturition,No fever,No skin rashes.

History of irregular menstrual cycles since menarche (achieved her menarche at 12 years)menstrual cycles were once in every 3 months.Last menstrual period 30/05/2022.

Not a known case odf DM,HTN,THYROID,CAD,CVA,BRONCHIAL ASTHMA.

History of acute gastroenteritis 2 months back.o

GENERAL EXAMINATION: 

Bilateral pitting type of pedal edema present 

NO PALLOR,ICTERUS,CYANOSIS,CLUBBING,KOILONYCHIA,LYMPHADENOPATHY.











VITALS:

Bp:110/80mmHg in left arm in sitting position 

PR:78bpm

RR:16Cpm

BAE present.NVBS Present 

CVS:S1S2 heard

CNS:NAD

Temperature:Afebrile

JVP:Not elevated 

Input/Output:500/350ml







PROVISIONAL DIAGNOSIS:ANASARCA SECONDARY TO ?NEPHROTIC SYNDROME 
TREATMENT:
1)Monitoring Bp,PR,Temperature.











Comments

Post a Comment

Popular posts from this blog

A 26year old Patient came to casuality with shortness of breath

Image
  This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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. A 26 year old male patient, resident of adauidulpally, Nalgonda district farmer by occupation came to our hospital with chief complaints of - 1. Shortness of breath 2. Loss of appetite 3. Low grade Fever  4. Pedel edema Date of admission :- 05/04/2022 History of present illness: - Patient was apparently normal 1week back , then he had one episode of low grade fever, Generalized body pains, burning micturtion but relieved with medication.Then developed pedal edema,initially till ankle Loss of appetite  4-5 days back associated with nausea and  4 days back one episode of vomiting  Non bilious and no food par
Read more

50 year old female with fever ,thrombocytopenia

Image
​ 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. CASE PRESENTATION: A 50 year old female came to casualty  with c/o Fever since 7 days  HOPI : Patient was apparently asymptomatic 7 days back then she developed fever which is  of high grade,intermittent, not  associated with chills and increased during night.2 days later She went to a local hospital where she was diagnosed with typhoid.she was on medication. Her platelets count reduced and fever is not subsided.  She also complained of mild head ache since 4 days ,relieved on medication  No h/o nausea, vomiting  No h/o loose stools/constipation  No h/o pain abdomen No h/o Burning micturition  PAST
Read more

GENERAL MEDICINE:SHORT CASE

Image
​ This is an online e-log platform to discuss case scenario of a patient with their guardians permission.  I have been given this case to solve in an attempt to understand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan. Chief complaint: A 53 year old male came to OPD complaints of involuntary shaking of hands since 2 months History of present illness: Patient was apparently asymptomatic 15 months back then gradually developed tremors of left hand which gradually increased in intensity from the past two months tremors decreased on doing physical activity and increased on rest and of intermittent type (on and off) No history of trauma No history of postural instability No history of rigidity and bradykinesia No history of reduced eye blinking, drooling,and soft voice No history of dysphagia No history of sleep disturbances N
Read more