23F with Nephrotic syndrome
Case History and Clinical Findings
A 22 YR OLD FEMALE FARMER BY OCCUPATION, RESIDENT OF NADIKUDU CAME TO HOSPITAL WITH CHEIF COMPLAINTS OF B/L LOWERLIMB SWELLING , FACIAL PUFFINESS , DECREASED URINARY OUTPUT , SOB, LOWER BACK PAIN, PT NOW ADMITTED FOR RENAL BIOPSY
HOPI:
PT WAS APPARENTLY ASYMPTOMATIC 5 MONTHS BACK AND THEN SHE DEVELOPED FACIAL PUFFINESS &PERIORBITAL SWELLING PRECEDED BY B/L LOWER LIMB SWELLINGS, DECREASED URINE OUTPUT &SOBGRADE 2 TO GRADE 3 TOOK TREATMENT AT NALGONDAPRIVATE HOSPITAL FOR SAME SHE WAS ADMITTED FOR SAME OMPLAINTS AT OUR HOSPITAL AND NOW SYMPTOMS SUBSIDED AND DIAGNOSED AS NEPHROTIC SYNDROME; ADMITTED FOR RENAL BIOPSY
PAST HISTORY : NOT A K/C/O DM,HTN,ASTHA,CAD,EPILEPSY
ON EXAMINATION :
PT IS C/C/C
TEMP : AFEBRILE
BP : 120/80 MM HG
PR : 82 BPM
GRBS : 83 MG/DL
I/O : 1100 ML/1300 ML
CVS : S1,S2 +
P/A : SOFT , NT,
BS +
CNS : NAD
Treatment Given
TAB. RAMIPRIL 2.5 MG PO/BD
TAB.LASIX 30 MG PO/OD
INJ.PIPTAZ 4.5 GM IV/TID
INJ.TRAMADOL 1 GM = 100 ML NS IV /STAT
INJ.ZOFER 4 MG IV/BD
FLUID &SALT RESTRICTION
Advice at Discharge
TAB.RAMIPRIL 2.5 MG PO/BD
TAB.LASIX 20 MG PO/OD
TAB.ZOFER 4 MG PO/TID
TAB.PAN 40 MG PO/OD
