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(Systemic Review)
NO hx of
Anaemia: Giddiness, fainting
Urinary sx: Increase in frequency, nocturia, polydipsia, hematuria, painful
urination, flank pain, no hx of multiple UTI
Cardio: No chest pain, orthopnea, PND, palpitations
Liver: No hx of jaundice, tea-coloured urine, pale stool
Vascular: Hypertension?? Headache, blurring of vision
Others,
No history of jungle trekking, swimming, strenuous exercise (marathon etc)
Denied rat exposure
Denies taking traditional medication/herbs/supplements
Water source- vending machine
No URTI symptoms recently
No
Erectile
Dysfunction
Differential
Diagnosis 1) Diabetes
2) Glomerulonephritis (
commonly IgA
nephropathy , rarer
disorder eg.
Mesangiocapillary GN,
systemic disorder,eg. SLE,
vasculitis)
3) Unknown
4) Hypertension or
renovascular disease
5) Pyelonephritis and reflux
nephropathy
6) Renal malignancy
Crt<2sec
Good pulse volume
Warm peripheries
Not tachypnaeic
Able to lie flat
Cardio S1S2NM
Apex not palpated
vs
Summary Kawser, a 23 year old Bangladeshi presented to the hospital upon
referral due to advanced renal disease under investigation. Experienced
lethargy, loss of appetite, frothy urine for the past one month and 1
week ago complaining of pruritus and bilateral leg swelling. Previous
admission was 2 weeks ago for dengue fever with warning signs.
Otherwise, no family history of chronic kidney disease, hx of taking
medications.
Differential Diagnosis
Investigations
Blood Ix
FBC Hb- Anaemia of CKD Normocytic anemia
IVD maintainence
Figures
NEPHROTIC SYNDROME