Skip to main content

UREMIC ENCEPHALOPATHY with AKI on CKD

IMMANI AASRITHA, GM
3rd sem, roll num:49
August 05, 2021
User the guidence of Dr. Meghana (intern)
UREMIC ENCEPHALOPATHY with AKI on CKD

This is an online e-log platform to discuss case scenarios of a patient with their guardian's 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.
ON GOING CASE

CASE SCENARIO:
A 75 year old male patient came to casuality in unresponsive state since 1 hour.
Patient was having fever since 10 days .

HISTORY OF PRESENT ILLNESS:
The patient was apparently 
 asymptomatic 10days back then he had insidious onset of fever ,low grade intermittent ,releived with medication,not associated with any chills and Rigors.
Yesterday morning he woke up,done his routine works and was normal till evening ,went to sleep and they tried to wake him up,as the patient was unresponsive.
4 months back patient wide was demised ,from then he was not interacting actively with his family members and having excessive sleep 
Patient attendees are saying that patient had h/o wt loss 
Patient had h/o left sided scrotal swelling since 6 years
 
HISTORY OF PAST ILLNESS:
No h/o diabetes ,HTN,Asthama ,TB and epilepsy 

TREATMENT HISTORY
???????

PERSONAL HISTORY:
Appetite -decreased since two months 
Sleep -excess
Bowel and bladder movements -normal nd regular 
Addictions -none 

FAMILY HISTORY
Not significant

GENERAL EXAMINATION:
No icterus, clubbing, lymphadenopathy, edema, pallor, cyanosis,kolionychia

SYSTEMIC EXAMINATION:
Glasgow sacale: E1,V1M1
BP-140 systolic 
PR-42/min,regularly,irregular 
RR-BLAE present

CVS :
 S1S2 HEARD 
no thrills no murmurs

ABDOMEN:
Non distended
Diffuse tenderness absent 
Guarding and rigidity absent

CNS-
                  Right         Left 
Tone  UL.  Hyper        Hypo 
           LL.  Hypo         Hypo 

Power  UL  -                 -
             LL  -                 -

Reflexes-
            B-   ++       ++
            T-   ++       ++
            S     ++      ++
            K-    +         -
            A-    -          -
            P- extensor extensor

INVESTIGATION

PROVISIONAL DIAGNOSIS- Uremic encephalopathy with AKI on CKD

TREATMENT
????????


Comments

Post a Comment

Popular posts from this blog

49 Aasritha, GM, 52 year male with LL(R) swelling

IMMANI AASRITHA 3rd sem, roll num:49 under the guidance of Dr. Rishik (Intern) This is an online e-log platform to discuss case scenarios of a patient with their guardian's 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. CASE SCENARIO: A 52yr old patient came to the ward on 29 June 2021 with chief complaints of right lower limb swelling, intermittent fever (alive and well), shortness of breath since 3days, and burning micturition for 15 days. HISTORY OF PRESENTING ILLNESS The patient was asymptomatic 5days ago, after which he developed right lower limb swelling up to the knee. No H/O trauma, thorn prick, nausea, vomiting c/o a small wound, watery discharge since 2 days Fever- 5days intermittent, low grade, a/w chill A light rise in temp so
Post a Comment
Read more

GENERAL MEDICINE ASSIGNMENT

49 Immani Aasritha  Bimonthly formative and summative assessment-JUYL 2nd 2019 batch -3rd em QUESTIONS:1                1.PULMONOLOGY                            Review: https://gnanaprasunareddy.blogspot.com/                                CASE: https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-                                                    female-with-shortness-of.html                               As chief complaints are pedal edema, facial puffiness, and shortness of breath for the past 15 days. As far the examinations done and investigations revealed that she is suffering from an exacerbation of COPD along with right heart failure associated with bronchiectasis.              2.CARDIOLOGY                         Review: https://gnanaprasunareddy.blogspot.com/                             CASE:https://muskaangoyal.blogspot.com/2021/05/a-78year-old-male-                                                              with-shortness-of.html                          As
Post a Comment
Read more

General Medicine Assignment

49 Immani Aasritha GENERAL MEDICINE BIMONTHLY ASSIGNMENT AUGUST 23rd, 2021 2k19 batch ; 3rd sem QUESTION - 1 LONG CASE: This is primarily a case of Acute glomerulonephritis, likely due to Secondary Amyloidosis due to Chronic Poorly Treated Seronegative Erosive Rheumatoid Arthritis. The patient presented with bilateral, symmetric, pitting type of edema which was extending upto the middle of his leg. The patient also had chronic pain in the joints leading to restriction of movement since 2011. Upon previous hospital visits, the RA factor was negative. Therefore, the patient was prescribed analgesics and sent home. Chronic use of analgesic drugs was seen from 2011-2019, the details of which were undocumented. Hyperuricemia was also observed in one of his recent visits during last year and Febuxostat was prescribed as it has proven to be more effective than Allopurinol in recent studies. Anasarca was the chief complaint of this visit for which through testing and examinations were done. Li
Post a Comment
Read more