Gross haematuria with ansarca
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13Y/F presented to the opd with chief complaints of
1. red coloured urine since 36 days
2) pedal edema since 33 days
HOPI:
Patient was apparently asymptomatic 39 days ago , then developed fever which was low grade, intermittent type, relieved with medication not associated with chills & rigors . Vomitings 4 episodes /day for 3 days , content food particles, non bilious, non projectile. Loose stools 3-4 episodes/day, watery , not associated with abdominal pain, blood in stools .it relieved on medication after 3days
Patient presented to the opd with complaints of hematuria since 33 days whole stream of urine red in colour. No burning micturition and frothiness of urine
Then patient developed generalised swelling of body ,initially both lower limbs pedal edema then abdominal distension and facial puffiness.No h/o sore throat , decreased urinary output.
PAST HISTORY:
No history of similar complaints in the past
17/12/22
SALT AND FLUID RESTRICTION
Vitals monitoring 4th Hrly
18/12/22
13 year old girl, high school student came to the OPD with history of fever 36 days ago high grade, continuous type relieved with medication. Vomitings 4 episodes /day, content food particles, non bilious, non projectile. Loose stools 3-4 episodes/day, watery .
No presented with the complains of hematuria since 33 days, gross hematuria whole stream of urine.Both lower limb pedal edema since 30 days, pitting type.
No history of sore throat, decreased urine output .
S
C/o generalised swelling of body
20/12/22
13 year old girl, high school student came to the OPD with history of fever 36 days ago high grade, continuous type relieved with medication. Vomitings 4 episodes /day, content food particles, non bilious, non projectile. Loose stools 3-4 episodes/day, watery .
No presented with the complains of hematuria since 33 days, gross hematuria whole stream of urine.Both lower limb pedal edema since 30 days, pitting type.
No history of sore throat, decreased urine output .
S
C/o b/l lower limbs
No shortness of breath
P
SALT AND FLUID RESTRICTION
TAB LASIX 40mg PO/BD
21/12/22
13 year old girl, high school student came to the OPD with history of fever 36 days ago high grade, continuous type relieved with medication. Vomitings 4 episodes /day, content food particles, non bilious, non projectile. Loose stools 3-4 episodes/day, watery .
No presented with the complains of hematuria since 33 days, gross hematuria whole stream of urine.Both lower limb pedal edema since 30 days, pitting type.
No history of sore throat, decreased urine output .
S
C/o b/l lower limbs
No shortness of breath
O
Pt is C/C/C
BP:110/80mmHg
PR:72bpm
SpO2:98% on RA
Temp :afebrile
CVS:S1S2 +
RS :BAE +
PA-soft no organomegaly
A
POST INFECTIOUS GLOMERULONEPHRITIS
ANEMIA OF CHRONIC INFLAMMATION
P
SALT AND FLUID RESTRICTION
TAB LASIX 40mg PO/BD
Vitals monitoring 4th Hrly
Plan for renal biopsy today
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