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Old Family history: Kidney related disease Unhygienic habits Frequent consumption of high sodium food
Precipitating factors: Habit of holding back urine
Accumulation of urine in the bladder
LEGEND: Signs and Symptoms Disease Process Precipitating Factors Predisposing Factors Medical Management
Ascending infection takes place in the renal parenchyma Release of antigen-antibody complexes in the circulation Prolong storage of urine in the bladder Invasion of certain kind of bacteria in the body Ultrasound showed Acute Renal Parenchymal Disease
59 Inability to stimulate red bone marrow to increase production of RBC Hgb. Hydrocortisone (soluocrtef) 50mg IVTT every 6 hours 2.000 and segmenters of 80 and abnormal decrease of lymphocytes of 17. prednisolone (Prelone) 20mg/5ml IVTT BID . Amikacin (amikacide) 125mg q 8h 2. Proliferation of epithelial cells lining glomerulus & cells between endothelium & epithelium of capillary membrane Inflammatory response Vasodilation of the renal arteries supplying the glomeruli Impairment to release erythropoeitin Decrease RBC: 4. Penicillin G 1m l "u" IV q 6 Abnormal increase of WBC of 18.Paracetamol (Biogesic) 500 mg 1/2 tab PO every 4 hours Entrapment of exogenous bacteria in the endothelial lining of the glomeruli Abnormal increase of body temperature of 38.0 Pale skin and conjunctivae 1.8 Hct: 33. 10. 7C Immune complex reaction in the glomerular capillary 1.
MINIMAL TO pitting Grade 1 MODERATE PLEURAL EFFUSION Decrease urine output and frequency Occlusion of the capillaries of the glomeruli vasospasm of afferent ventrioles Leakage of large and small particles such as RBC and protein. Chest X-ray 1. Ultrasound showed minimal ascites. Increase abdominal girth of 26cm.Increase perfusion of blood going to the glomeruli Urinalysis showed pus cells of 0 – 2 cells and revealed few bacteria in the urine Swelling capillary membrane & infiltration with leukocytes Insufficient tissue perfusion going to the kidneys Ultrasound showed Acute Renal Parenchymal Disease Reduction of glomelular membranes capacity for selective permeability 1. Furosemide (Lasix) 40mg 1tab BID 2. 3. bipedal edema. spironoloactone (Aldactone) 25mg 1 tab PO BID . Urinalysis showed protein (+4) and RBC (14 cells) in the urine Decrease glomerular filtration rate Decrease ability to form filtrate from glomeruli plasma flow Third-space fluid shifting from intravascular to interstitial compartment in the peritoneal cavity Retention of water and waste products 1. 2. anasarca Results showed 2.