A patient age 36/M came with a history of Fever and recurren
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Dr. Farman Khan
A patient age 36/M came with a history of Fever and recurrent vomiting since 3 months, developed Breathlessness and decreased breathing since one week. During the span of illness he had seen a couple of local practitioners but he did not get any relief. His Breathlessness did not improve and was admitted to the hospital, on investigation the findings were as follows Hb:6.7 TLC:15,500 platelet:3 lac Na:147 K:5.1 Urea:>257 S.Creatinine:18.4 S.Br:0.8 (LFT normal) Ca:6.1 Phosphorus:8.9 also Abg was done. Patient needed urgent dialysis and developed a condition called Osmotic disequilibrium Syndrome. But with slow dialysis for 5-6 days KFT improved drastically.

Abg shows an interesting finding. WHAT'S YOUR DIAGNOSIS?
Dr. M●. S●●●●●l I●●●m S●●●n and 4 others like this2 shares
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Dr. M●. S●●●●●l I●●●m S●●●n
Dr. M●. S●●●●●l I●●●m S●●●n Internal Medicine
Drug reaction.
Jul 15, 2017Like1
Dr. F●●●●n K●●n
Dr. F●●●●n K●●n General Medicine
Great answer Doctor. That was the one cause that was diagnosed for the ARF in the patient.
Jul 16, 2017Like
Dr. M●. S●●●●●l I●●●m S●●●n
Dr. M●. S●●●●●l I●●●m S●●●n Internal Medicine
Dehydration (hypovolumic shock- due to recurrent vomiting), septicaemia (fever) -worsening renal function.
Jul 16, 2017Like1