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

Popular posts from this blog

THESIS

JUNE 2023 WARD

35 yr old with low backache .