hepatitis C

Morbidity Meeting Ksr by on Scribd

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Just an epigastric discomfort?

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JUST AN EPIGASTRIC DISCOMFORT?? Disclaimer: This is a HIPAA de-identified open-online-patient-record with patient information posted here after collecting informed patient consent. 42 yr old male is complaining of Burning sensation in the upper abdomen since 1yr. pt tells ''6 months back I had severe pain in right side of my upper abdomen for a week for which I was treated with medication and relieved from pain.. Now i was here because i couldn't get rid of this burning sensation in the upper abdomen which aggravates though I takes food or not.. so i take antacids frequently but of not much use. no h/o smoking or alcohol, no other addictions... also complaining of constipation and burning micturition since 3 months.. and occasional vomitings.  past history and family history are nil significant. on examination his carotid body pulsations are felt.. on suspecting hypoxia his spo2 was measured and is found to be within normal limits.(97%). His investigations are as fol
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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  Hemodialysis  after which he got an  Arteriovenous  fistula done and then
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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 completely bed r
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