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 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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Does Vitamin D deficiency always mean Rickets?

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I am 17yr old and I am unable to walk..not even stand.. i can't bear my own weight. I was born normal from a 3rd degree consanguinous marriage. I was the first child for my parents I had two brothers. Both of them are completely normal. I used to walk normally like other kids.. I used to play.. my thighs started bending (bowing) slowly when I was 7. It gradually progressed and I developed knock knees for which I had surgery at the age of 10 yrs for my left leg and at the age of 12 yrs for my right leg (B/L supracondylar osteotomy) I was quite normal for about some time then again my thighs started bowing again. I started using stick at the age of 15, I always needed someone to hold me while I walk.. I had multiple fractures in my left lower leg with trivial trauma. But my right leg is normal. On enquiry... there was anterolateral bowing and fracture of left femur after severe pain for about 3 days which was treated conservatively by applying POP and traction. On examination He...
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