22 YEAR FEMALE WITH NEPHROTIC SYNDROME

 This is an online e-log book to discuss our patient de-identified health data shared after taking his / her / guardian's signed informed consent. Here we discuss our individual patients' problems through a series of inputs from the available global online community of experts with an aim to solve those patients' clinical problems with collective current best evidence-based information.  

 This E blog also reflects my patient -centered online learning portfolio and your valuable input in the comment box is welcome.  

 I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and coming up with diagnosis and treatment plans. is an online e-log book to discuss our patient's de-identified health data shared after taking his / her / guardians' signed informed consent. Here we discuss our individual patients' problems through a series of inputs from the available global online community of experts with an aim to solve those patients' clinical problems with collective current best evidence-based information.

CHIEF COMPLAINTS 

A 22 year female farmer by occupation came to General medicine OPD with bilateral lower limb swelling. Facial puffiness since 5 months. Decreased urinary output since 5 months Shortness of breath since 5 months lower back pain since 5 months. Patient admitted noe for renal biopsy.

HISTORY OF PRESENTING ILLNESS

Patient was apparently asymptomatic 5 months back then she developed facial puffiness and preorbital swelling then she developed bilateral lower limb swelling. decreased urinary output and SOB grade II to grade III for which she took treatment at a private hospital in nalgonda. She was admitted for the same complaints in our hospital for 3 days last week Now symptoms subsided for taking medication. Now she is admitted for renal  

PAST HISTORY 

Not a known case of Diabetes, hypertension, epilepsy,asthma, CAD

FAMILY HISTORY

No history of similar complaints in family

PERSONAL HISTORY 

Diet: mixed

Appetite :decreased

Sleep:disturbed

Bowel and bladder movements: decreased urine output

No h/o addictions or drug allergies 

GENERAL EXAMINATION:

Patient is conscious, coherent and cooperative. moderately built and nourished.

Pallor- present

Icterus- absent

Clubbing- absent 

Generalised lymphadenopathy-absent 

 Edema- PRESENT

VITALS:- 

Temp:afebrile

HR:85bpm

RR:16cpm

BP: 110/80

SYSTEMIC EXAMINATION 

CVS: S1, S2 heard

RS: BAE present

P/A: soft and non tender

CNS: No focal neural deficits

PROVISIONAL DIAGNOSIS 

NEPHROTIC SYNDROME 

INVESTIGATIONS:

Urine analysis: Proteinuria 

Hypoalbuminemia 2gm/dl

SGOT:19IU/L

SGPT:12IU/L

Biopsy sample is collected on 14/12/22

MEDICATION 

Tab.Ramipril

Tab.lasix

INJ.Pipatz

Inj.Tramadol

Inj.Zofer

Fluid and salt restriction

PREVIOUS DISCHARGE SUMMARY