CA LM SNG

Nhm thc hin:Nguyn Vn Hng Th Hnh Nguyn Th Thanh Ho

 Bnh nhn n,11 tui, cch y 2 nm BN thy ph nh ton thn. Sau vo vin cha tr thy . V nh thnh thong li c t ph nng BN vo vin Bch Mai trong tnh trng mt hp, sng to,bng to,mun i tiu nhng khng i c, i nhiu ln nhng i t. Nng 35 Kg,cao 1m30. Nhit :37C. HA:100/60mmHg. Tip tc theo di thy: BN vn ph nh ton thn,trng,n lm BN hay st, bun nn,km n Ho khc ra m c mu xanh Nc tiu c mu vng nht Ur:3.4 mmol/l,creatinin:57mol/l

1.T cc triu chng trn, cc bn nghi ng BN c th mc bnh no trong cc bnh sau y: A. Vim cu thn cp B. Suy thn cp C. Hi chng thn h D. Suy thn mn E. Bnh khc

p n:C

2. Nhng triu chng no lm cc bn ngh n chn on ?

p n
-Ph ti pht -Ph trng, n lm -nc tiu mu vng nht -Mc lc cu thn bnh thng -i t

3. chn on xc nh phi lm xt nghim no di y: A. Xt nghim ASLO B. Protein mu, protein niu C. Ur, creatinin mu D. Lipid, triglycerid mu E. Xt nghim khc

p n: B

4. Ti sao cc bn chn xt nghim ?

p n: 5 tiu chun chn on HCTH : 1.Ph 2.Protein niu>3.5g/24h 3.Protein mu<60g/l,albumin mu<30g/l 4. Lipid mu>900mg%, cholesterol ma>250mg% 5. Nc tiu c ht m lng chit, tr m Trong tiu chun 2,3 l bt buc

5. T chn on trn cc bn hy a ra phng hng iu tr cho BN ny?

-ch n v sinh hot: BN cn ngh ngi, hn ch vn ng n nht, tng lng protein hng ngy -cc thuc iu tr: 1.Thuc li tiu:furosemid 2.corticoid v thuc c ch min dch: +Prednisolon 3.Vitamin