hepatitis C

Morbidity Meeting Ksr by on Scribd

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HCV due to Dialysis??

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This is a graph showing the course of illness in the patient before he was referred to us. The  patient in 2016 had fever for which he got all the routine investigations done and the reports were absolutely  normal.In  July,2017 he had fever and generalised body pains for which he was treated by a doctor at a local hospital. His fever subsided after 5 days but his body pains persisted for 2  months for which he used some medication for 1 month 15 days. After  2 months in  september , 2017 he consulted the same doctor for persisting body pains. The doctor advised for few investigations for which the patient went to a hospital in  hyderabad  and got the tests  done.Here  they informed him that his kidney functioning  wasn't  good and his serum creatinine was 8.9 mg/dl and he needs to be initiated on  Hemodialysis.(but the pt was completely asymptomatic except for his body pains).He  underwent 2 cycles of  Hem...
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Jaccoud's Arthropathy with Mucocutaneous Inflammatory Gangrene

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31 yr old female come to the hospital with c/c of fever of high grade and jaw pain since 15 days.. pt was apparently alright 20 days back, then she had a trauma (got hit by wooden stick) over right small toe during work.. after 10 days she developed high grade fever,continuous type a/w chills and rigors, subsided without medication. No other positive history. Past history: pt developed sudden deformity in joints of both hands and toes 16 yrs back during her 1st pregnancy (6th month) since then there is no progression of deformities.she had two children there after. clinical picture relates more to rheumatoid arthritis but only distal small joints are involved. so can it be systemic lupus erythematosus ? Jaccoud's arthropathy On examination vitals are stable.. hyperextension at proximal inter-phalyngeal joints and flexion at distal inter-phalyngeal joints of both right and left hands is seen. spleenomegaly + Dental history and examination pt is c/o of loosening of teeth an...
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Jaccoud's Arthropathy with AKI

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25 yr young lady had vomitings 2 episodes , diarrhoea 2 episodes and then felt giddy, loss of consciousness, for which she went to local hospital and there she was given glucose (2 bottles) After which she developed abdominal dissension followed by facial puffiness followed by swelling of upper limbs and lower limbs. Associated with decreased urine output and was referred to higher centre.. all of a sudden she was diagnosed as C/O ACUTE KIDNEY INJURY... and she was on Dialysis. Past history:she was 3rd child for her mother after 2 girls.. no h/o birth injury. mile stones achieved as per age.  she was normal up to her age of 12yrs. One day she developed low grade fever after 2 days she developed swelling in her right knee.. she was unable to squat. Unable to flex her knee.. not a/w any pain and swelling subsided after few days.. she was  normal for about 6 months then she had an episode of low grade fever on and off for duration of about 6 months, during which she was complet...
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