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A 21-year old female presented with fever, dysuria, urinary frequency and urgency, back pain, abdominal pain, vomiting and decreased appetite. She was diagnosed with acute pyelonephritis based on urinalysis showing white blood cells and slightly cloudy urine. She was treated with intravenous antibiotics, fluids, antipyretics and other medications for symptom relief. Her condition improved and she was discharged on an oral antibiotic regimen.
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I do not own copyrights for the images used in this video, however, kindly notify while sharing or using any material employed in this presentation. I hope you find this useful.
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This document defines pyelonephritis as inflammation of the kidney parenchyma and renal pelvis lining. It discusses the epidemiology and risk factors, including those related to host factors like sex, obstruction, and genetics. The etiology is typically gram-negative bacteria like E. coli ascending from the urethra. Clinical features range from mild fever to severe fever and flank pain. Diagnosis involves urine testing and culture. Treatment depends on severity and involves antibiotics like fluoroquinolones for 7-14 days.
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urinary tract infection
The document discusses urinary tract infections (UTIs). It notes that UTIs can affect people of all ages but are more common in females, especially younger girls. The main causes are E. coli and other bacterial infections that enter the urinary tract. Symptoms vary depending on whether the infection involves the bladder (cystitis) or kidneys (pyelonephritis). Risk factors, diagnosis through urinalysis and culture, treatment with antibiotics or conservatively, and potential long-term issues like renal scarring are covered.
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A 25-year-old man presented with high fever and painful mass in his right flank. Ultrasound and CT imaging found an enlarged right kidney with diffuse perinephric inflammation and stranding, indicating acute pyelonephritis. Follow-up imaging after one month and three months showed resolution of the inflammatory changes with treatment of antibiotics, confirming the diagnosis of acute pyelonephritis.
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Ultrasound can detect various renal infections including:
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2) Renal abscesses appear as hypoechoic masses with thick irregular walls that increase in distinctness over time.
3) Pyohydronephrosis is infection of the obstructed collecting system seen as echogenic debris and fluid-fluid levels.
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DJ Stenting or Percutaneous nephrostomy(PCN) in acute pyelonephritis
Ultrasound of the urinary tract - Renal infections
Ultrasound of the urinary tract - Renal infections
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2. a case study on hypertension with rheumatoid arthritis and erosive gastritis
A 50-year old female patient was admitted to the female medicine ward with complaints of anxiety and breathlessness since 7-8 days, decreased appetite and acidity. she was a known case of Rheumatoid Arthritis since 8 years . She was also a k/c/o hypertension since 10 years and had a past history of stroke.
casepresentation-180720092030.pdf
This document presents the case of a 55-year-old female admitted with acute pancreatitis. She has a history of recurrent epigastric pain and was previously treated for suspected acute cholecystitis. On current admission, she has epigastric tenderness and elevated lipase. Imaging reveals no gallstones but incidental pneumonia. She is managed supportively with IV fluids and analgesics. Her symptoms and labs improve and she is discharged on a soft diet. The document reviews the etiology, pathogenesis, diagnosis, assessment of severity, management considerations, and follow-up care for acute pancreatitis.
Ecc case diary learning points in notes underneath
This document summarizes the medical records of two animal patients. The first is an 11-month-old German Shepherd that presented with gastric dilatation and volvulus (GDV) and required surgery. The second is a 13-year-old diabetic cat that presented with hypoglycemia, likely due to an insulin overdose, and was stabilized with IV glucose. Both patients were monitored overnight and discharged after their conditions had resolved.
Uti with renal caliculi with type2 dm
The patient, P. Adilaxmi, a 35-year-old female, was diagnosed with a urinary tract infection and renal calculi complicated by type 2 diabetes. She presented with low backache, swelling of the lower limbs and face, and was on antidiabetic medication. Laboratory tests and ultrasound confirmed the diagnosis and showed renal abnormalities. She was treated with antibiotics, analgesics, and antidiabetic drugs, and her symptoms improved over time, allowing her discharge after 8 days.
Fistula recto vaginal infection perspective
geriatry with poor intake and fistula recto vaginal must be caution for infection spreading without significant clinical symptom
CASE STUDY ON Urinary Tract Infection
UTIs are common infections, especially in women. This patient presented with fever, chills, headache, body ache and vomiting for 7 days. Examination found fever. Urine tests found pus cells. The patient was diagnosed with a urinary tract infection and treated with IV antibiotics, antipyretics, pantoprazole and vitamins. Symptoms improved and the patient was discharged after 5 days with oral antibiotics and other medications. However, prescribing lariago without a positive malaria test was irrational.
A Case of Atypical Hemolytic Uremic Syndrome
A 30-year-old male presented with jaundice, vomiting, fatigue and oliguria for 4 days. On examination, he had pallor, icterus, hepatomegaly and altered sensorium. Investigations revealed macrocytic anemia, elevated liver enzymes and kidney dysfunction. A kidney biopsy showed fibrin thrombi in renal capillaries. He was diagnosed with atypical hemolytic uremic syndrome (aHUS) based on the clinical features and biopsy findings. aHUS has a poor prognosis with mortality rates up to 25% and 50% of patients progressing to end-stage renal disease.
4. a case study on pneumonia
A 70-year old male patient was admitted to the male medicine wards with complaints of cough with expectoration since 20 days, anorexia, pedal oedema, chest pain, haemoptasis since 10 days, low grade fever, weakness.
Tuberculosis ppt
A 40-year-old male presented with fever, cough, dark urine, and yellow eyes for 5-10 days. Examination found elevated blood pressure and temperature. Tests showed anemia, elevated ESR, liver enzymes, and acid fast bacilli in sputum. Chest x-ray found left lung opacities. The patient was diagnosed with tuberculosis and prescribed a multi-drug regimen including isoniazid, rifampin, pyrazinamide, and ethambutol for two months, followed by isoniazid and rifampin for four months to reduce symptoms, prevent complications like liver disease, and decrease disease progression while being monitored for response.
SAI DEEPAK CASE STUDY ON CHRONIC KIDNEY DISEASE
A 35-year old female patient presented with chest pain, breathlessness, body pain and lack of appetite. Laboratory investigations revealed severe anemia and renal dysfunction. She was diagnosed with pneumonia and chronic kidney disease. She was started on medications including sodium bicarbonate, folic acid, nifedipine, carvedilol, atorvastatin and calcitrol. She was counselled about her disease, medications, lifestyle modifications including diet, exercise and stress reduction.
Dengue Fever with Warning Signs
The patient is a 20-year-old male who presented with fever, headache, rashes and low platelet count. He was diagnosed with dengue fever with warning signs based on laboratory results and symptoms. He was admitted and treated with IV fluids and medications. Over the course of a week, his symptoms improved and platelet count increased as his condition stabilized.
CKD WITH MALARIA & ACUTE GE
A 50-year-old male was admitted with swelling of the lower limbs, fever, chills, vomiting, and diarrhea. He has a history of chronic kidney disease and malaria. On examination, he was febrile and had pallor, icterus, and tenderness in the abdomen. Laboratory tests showed decreased hemoglobin and kidney function. He was diagnosed with chronic kidney disease exacerbation and malaria and treated with IV fluids, antibiotics, antimalarials, and other medications. His condition improved and he was discharged on medications including antibiotics and supplements with counseling on diet, lifestyle and medication adherence.
Lipoprotein glomerulopathy.pptx
Here are some key safe lab practices to follow:
1. Wear proper personal protective equipment (PPE) like a lab coat, gloves, and safety glasses.
2. Never eat, drink, smoke, or apply cosmetics in the lab.
3. Always wash your hands before leaving the lab.
4. Keep the work area clean and organized.
5. Label all chemical containers clearly.
6. Know the locations and how to use safety equipment like eyewash stations and fire extinguishers.
7. Never work alone in a lab.
8. Follow proper procedures for handling and disposing of chemicals and biological materials.
9. Report any accidents
acute pancreatitis.pptx
- The patient, a 78-year-old female, presented with abdominal pain, nausea, vomiting and constipation for 3-4 days.
- Tests showed elevated white blood cell count and signs of acute pancreatitis. She was assessed as suffering from acute pancreatitis and hypertension.
- Her treatment plan included IV fluids, pantoprazole, ondansetron, and paracetamol for pain. She was also continued on her regular medications for hypertension.
- She showed improvement over two days in symptoms and vital signs and was counselled on medication use and follow-up before being discharged.
Acute Renal Failure 2* to Rhabdomyolysis 2* to Motor Vehicular Accident
The document presents a case study of a 20-year-old male who developed acute renal failure secondary to rhabdomyolysis caused by a motorcycle accident. He was admitted with abdominal pain and distension. His creatinine levels increased significantly over his hospital stay, indicating acute kidney injury. He received various treatments including IV fluids, medications, and multiple hemodialysis sessions. His condition gradually improved and he was discharged after three weeks with instructions for outpatient follow up and medication.
Parkinson's Disease
This case study presentation involves a 61-year-old male patient with Parkinson's disease, urinary tract infection, and severe edema. He has a history of Parkinson's disease for 8 years and has had a Foley catheter for 1 year. Physical examination finds the patient semiconscious with swelling over his entire body. Laboratory tests show elevated creatinine and sodium levels, as well as pus cells in the urine, indicating urinary tract infection. The patient is diagnosed with Parkinson's disease with urinary tract infection and bacterial endocarditis of prosthetic heart valves. The goals of therapy are to improve quality of life, prevent further complications, and optimize the patient's current treatment plan.
Alcoholic liver disease with portal hypertension
A 42-year-old male presented with complaints of bloating, abdominal pain, nosebleeds, and breathlessness. He has a history of chronic alcoholism and perianal hematomas. Examination found moderate general condition with normal vital signs. Labs showed elevated liver enzymes, low hemoglobin and platelets, indicating alcoholic liver disease with portal hypertension and anemia. Ultrasound showed an enlarged liver with portal hypertension and mild ascites. He was assessed with alcoholic liver disease due to excess alcohol intake. Treatment included antibiotics, antiemetics, pantoprazole, vitamin K, and thiamine to reduce complications and improve quality of life. Lifestyle changes including a fiber-rich diet and avoiding alcohol
Case presentation on abdominal migraine
adominal migraine. Treatment for abdominal migraine is based on NICE guidelines and is found to be appropriate for the patient.
Based on the guidelines, treatment should include an triptans or NSAID based on the condition of the patient along with an antiemetic drug if vomiting. Symptomatic treatment should be given along with these drugs.
But opioids should not be given for paediatric patient according to NICE guidelines and FDA- label
Cirrhosis
This document summarizes a 39-year-old male patient who presented with an intertrochanteric fracture of the left hip. He had a history of diabetes, liver disease, splenectomy, and alcohol use. He underwent a closed reduction and internal fixation with a proximal femoral nail. The anesthetic plan addressed his comorbidities and perioperative risks. Intraoperatively, he developed ventricular tachycardia which resolved with medication. He received blood products due to blood loss. Postoperatively, he showed signs of hepatic encephalopathy.
CASE PRESENTATION ON HEPATIC ENCEPHALOPATHY DUE TO ALCOHOLISM
- The patient, a 43-year-old male, presented with altered sensorium since the previous evening.
- He has a history of end-stage liver disease and portal hypertension with recurrent hepatic encephalopathy.
- On examination, he appeared drowsy and irritable. Investigations confirmed hepatic encephalopathy.
- He was diagnosed with hepatic encephalopathy due to alcoholism and prescribed medications including cefotaxime, pantoprazole, ondansetron, lactulose, ursodeoxycholic acid, rifaximin, and L-ornithine-L-aspartic acid to treat the condition and its symptoms.
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2. a case study on hypertension with rheumatoid arthritis and erosive gastritis
2. a case study on hypertension with rheumatoid arthritis and erosive gastritis
Ecc case diary learning points in notes underneath
Ecc case diary learning points in notes underneath
Acute Renal Failure 2* to Rhabdomyolysis 2* to Motor Vehicular Accident
Acute Renal Failure 2* to Rhabdomyolysis 2* to Motor Vehicular Accident
CASE PRESENTATION ON HEPATIC ENCEPHALOPATHY DUE TO ALCOHOLISM
CASE PRESENTATION ON HEPATIC ENCEPHALOPATHY DUE TO ALCOHOLISM
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Ming.clinical
- 1. Case 4: ACUTE PYELONEPHRITIS Melba Ann Cara T. Macasaet II MWF 11:00-12:00pm
- 2. General Patient Information Feb 2, 2010 Patient: Rab Age: 21 yo Gender: Female
- 3. Chief Complaint • Dysuria • Fever
- 4. History of Present Illness Feb 15, 2010 • Fever – temporarily relieved with paracetamol • Complaining of dysuria and urinary frequency and urgency Feb 16, 2010 • Still has fever • Vomiting • Backpain • Epigastric abdominal pain • Decrease appetite • Complain promt admission
- 5. Social History Smoke: Occasionally Alcohol: Drinks Occasionally Illicit Drug Use: Not Mentioned Occupation: Not Mentioned Marital Status: Not Mentioned
- 7. Medication History Drug Feb 18 2010 Feb 19 2010 Feb 20 2010 Paracetamol 500mg q4h prn prn Cefuroxime(zinacef) 750mg ivtt q8h 750mg ivtt q4h Shift to zinnat 500mg PO BID Ranitidine ( Zantac) 50mg ivtt q8h 50mg ivtt q8h D/C Lactulose (Duphalac) 15ml PO @ bedtime 15ml PO @ bedtime D/C Betahistine (Serc) 8mg PO TID 8mg PO TID D/C Sabutamol+ipratropium (Combivent) 1 neb q8h 1 neb q8h D/C Bisacodyl (Dulcolax) 10mg sup OD @ bedtime D/C supp, 5mg tab OD 9PM 5mg tab OD 9PM D5 NSS iL @ 40 gtts iL @ 40 gtts iL @ 40 gtts
- 8. Review of System Acute Pyelonephritis
- 9. Physical Examination BP 120/80 mmHg HR 86 bpm RR 17bpm Oral Temperature 38.6°C Weight 60kg
- 10. Laboratory and Diagnostic Test Results feb 18 2010 Urinalysis: WBC ++ slightly cloudy appearance Ultrasound: normal Urine Culture: no bacterial growth after 2days incubation Test Result Normal Range WBC 11.39 4.1-10.9 x 10 °/L Neutrophils 86 47-80% Lymphocytes 8 13-40%
- 11. Problem list and Initial plan Problem 1: DYSURIA – given cefuroxime (zinacef) Problem 2: FEVER – paracetamol 500mg
- 12. S O A P Dysuria Fever Vomiting Back pain Epigastric abdominal pain Decrease appetite Patient 21 yo Female BP 120/80 mmHg HR 86 bpm RR 17 bpm Oral temp. 38.6°C Weight 60 kg Acute pyelonephritis Feb 18 2010 paracetamol (biogesic) 500mg q4h,Cefuroxime (zinacef) ivtt q8h, ranitidine (zantac) 50mg ivtt q8h, lactulose (duphalac) 15ml PO @bedtime, Betahistine (serc)8mg TID, Sabutamol+ipratropium (Combivent) 1 neb q8h, Bisacodyl (Dulcolax) 10mg supp OD @ bedtime, D5 NSS iL 40 gtts Feb 19 2010 Paracetamol (biogesic) 500mg PRN, Cefuroxime (zinacef) ivtt q8h, ranitidine (zantac) 50mg ivtt q8h, lactulose (duphalac) 15ml PO @bedtime, Betahistine (serc)8mg TID, Sabutamol+ipratropium (Combivent) 1 neb q8h, Bisacodyl (Dulcolax) D/C supp, 5mg tab OD 9PM, D5 NSS iL 40 gtts
- 13. S O A P Feb 20 2010 Paracetamol (biogesic) 500mg PRN, Cefuroxime (zinnat) 500mg PO BID, Ranitidine ( Zantac) D/C, Lactulose (Duphalac) D/C, Betahistine (Serc) D/C, Sabutamol+ipratropium (Combivent) D/C, Bisacodyl (Dulcolax) D/C, D5 NSS iL 40 gtts Non-drug therapy quit smoking quit alcohol drinking increase water intake diet