1. The patient presents with multiple medical issues including an abdominal mass, anemia, diabetes, urinary tract infection, azotemia, thrombocytosis, hypoalbuminemia, leukocytosis, and mild dehydration.
2. Initial diagnostic plans include renal biopsy, blood smear, urine and blood cultures, abdominal ultrasound, and CT scan to further evaluate the abdominal mass and other abnormalities.
3. Initial management plans focus on treatment of infection, anemia, diabetes, and dehydration as well as monitoring of vital signs, laboratory values, and symptoms.
13. a case study on convulsions in a kco epilepsy with lactational amenorrhoeaDr. Ajita Sadhukhan
A 25 year old female patient was admitted to the female medicine ward with complaints of 2 and a half month amenorrhoea, epileptic fit convulsions at home, vertigo, generalised weakness and 1 episode of epileptic fit today evening.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
13. a case study on convulsions in a kco epilepsy with lactational amenorrhoeaDr. Ajita Sadhukhan
A 25 year old female patient was admitted to the female medicine ward with complaints of 2 and a half month amenorrhoea, epileptic fit convulsions at home, vertigo, generalised weakness and 1 episode of epileptic fit today evening.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
1. 1. Abdominal mass + pain, limfadenopathy aorta, Hidonefrosis sinistra,
Polipoid mass VU
2. Moderate Anemia MH
3. DM tipe 2 hiperglikaemia state non critical ill non obese
4. UTI complicata
5. Azotemia
6. Trombositosis
7. Severe hipoalbuminemia
8. Leukositosis
9. Mild dehydration
PROBLEM LIST
PPDS-1 Ilmu Penyakit Dalam - Fakultas Kedokteran Universitas Lambung Mangkurat/ RSUD Ulin Banjarmasin
2. CUE AND CLUE Problem List Initial Diagnosis
Planning
Diagnosis
Planning
Therapy
Planning
monitoring
Mrs S/ 49 yo
• Lump at stomach since 3 years. Initially a lump in the left stomach,
getting bigger until lower stomach.
• The stomach feels full, sometimes feels pain at left flank region
• Weight loss since last month
• Decreased appetite (+), nausea vomiting (-)
• Regular menstruation every month
1. Abdominal mass +
pain, limfadenopathy
aorta, Hidonefrosis
sinistra, Polipoid mass
VU
1.1 Malignancy
Mass
1.1.1 Renal Cell
Carcinoma
1.1.2 Lymphoma
maligna
1.2 Benign Mass
1.2.1 simple renal
cyst
1.2.2 polycystic
kidney disease
Renal Biopsy Non-Pharmacology:
No alcohol, no
smoking, less sugar
consumption
Drink enough water 1
L/day
Diet DM 1.345 kcal
/day
Pharmacology:
Confirm diagnose first
Inj Parasetamol 1
gram/8h
Plan Monitoring:
• VAS
• Vital sign
• Ur Cr
• UL evaluation
• USG Abdomen
Plan Education:
• If the pain increases
contact health workers
• eat little but gradually
• Explain about plan to
confirm the diagnosis
with biopsy
• Give information about
the disease
Objective:
UO: 450cc/24 h
BC: 0.4 cc/kgbb/h
VAS : 3
lymph node enlargement (-)
Abdomen: convex, palpable solid
mass a/r epigastrium,
hypochondriac sin, lumbar sin,
iliac sin sd suprapubic,
boundaries are not firm,
tenderness (+) spleen difficult to
evaluate, hepar not palpable
Laboratory Findings 18/6/23
Leucosit 19.300 / Neut% 82.5 / Limf%
12.6
Ur 61 / Cr 1.87
eGFR 33 / BUN: Cr = 15
UL 8/6/23
Blood 2+
Sedimen: Eritrosite 5-10, leuco 10-25,
epitel 10-15
Abdominal Contras CT Scan 6/6/23
- Gigantic left hydronephrosis, left
ureteropelvic junction stenosis ec
effect, multiple para-aortic and para-
iliac lymphadenopathy
- Polypoid filling defect on the right
side of the bladder size +/-1.2x1x2.6
cm
3. CUE AND CLUE Problem List Initial Diagnosis Planning Diagnosis
Planning
Therapy
Planning
monitoring
Mrs S/ 49 yo
• Weaknes (+)
• Look pale
• Weight loss since last month
• Decreased appetite (+), nausea vomiting (-),
swallowing pain (-)
• Bloody stool (-), bloody urine (-)
2. Moderate Anemia
Micrositic Hypocromic
2.1. Chronic disease
2.2. Iron deficiency
Blood smear
SI, TIBC, ST, Feritin
Non-Pharmacology:
Oxygenation
Pharmacology:
Transfusion PRC 1 pack/day
PRC Needed :
Correction of target Hb 10
(10-8.9) x 45 x 4 = 198 = 1 kolf
PRC
Plan Monitoring:
• Weakness
• HR, SpO2
• Urin production/day
• Bleeding manifestation
• Overload sign
Plan Education:
• Bed rest in bed
• Report any transfusion
reactions occured
• Explain to the patient if
complaints of weakness
increase or chest pain are
reported to the health
worker
• Report if any bleeding
manifestations happen
Physical
Examination:
Conj anemis (+)
atrophy of the
papillae of the
tongue (-)
Spoon nail (-)
RT: melena (-),
blood (-)
Lab 18/6/23
Hb 8.9, MCV 61.4, MCH 20.0
Lab 12/6/23 (post transfusion)
Hb 12.46 /MCV 62.6 /MCH
62.6
Lab 8/6/23
Hb 7.8, MCV 56.9, MCH 18.4
INITIAL PLAN
4. CUE AND CLUE Problem List Initial Diagnosis Planning Diagnosis
Planning
Therapy
Planning
monitoring
Mrs S/ 49 yo
• DM since 3 year ago, with herbal medicine, highes
blood sugar 400
• Since last 1 weeks on detemir 0-0-10 iu
• Polyphagia (-) Polydipsi a(-) Polyuria (-)
• Decreased appetite (+), nausea vomiting (-),
3. DM type 2 hyperglicemia,
non critical ill, non obese
Non Pharmacology
Diabetes Diet
(25 x BB ideal) = 25 x 46.8 = 1170 kcal
• +10% (activity)
• - 5% (40 – 59 yo)
• + 10 % (ilness)
= 1.345 kcal /day
Protein 0.8 gr/kgbb/d = 37.4 gr = 149 kcal
Carbohydrate:
55% x 1.345 kcal = 740 kcal = 185 gr
Fat : 456 kcal = 50 gr
No alcohol, no smoking, less sugar
consumption, extra egg white
Drink enough water 1 L/day
Pharmacology
Loading 1000cc NS in 8 hours, then the
1000cc NS in 16 hours
Maintenance NS 1500 cc/24 h
- Detemir 0-0-10 IU
- Aspart 3x10 IU
Consider to give:
- Atorvastatin 0-0-20 mg
Planning Monitoring:
• Premeal BG, Bed time
BG
• HbA1C
• Profil lipid, ASCVD
score
Planning Education:
• Educate the patient
about the disease
Diabetes Mellitus
• Probability of taking
medicine for rest of
her life
• Educate about calories
amount her should
take and her diet
Physical Examination:
Weight : 45 kg
Height : 152 cm
Lab 18/6/23
RBG 418 mg/dl 375
mg/dl (after
rehydration)
Lab 09/06/23
FBG 331, 2HPP 345
Urinalysis 08/06/23
Clarity: cloudy
Glucose: 3+
Urinalysis 08/06/23
Clarity: cloudy
Glucose: 1+
INITIAL PLAN
5. CUE AND CLUE Problem List Initial Diagnose Planning Diagnose
Planning
Therapy
Planning
monitoring
Mrs S/ 49 yo
• Low back pain and lower stomach
• Fever since yesterday
• Pain when urinating (-)
• Urinate decrease, low back pain, fever since
yesterday
• DM (+) since 3 years ago
4. AFI Day 2 with
Abdominal pain,
Leucocyturia +
Bacteriuria
4.1 UTI complicata
4.2 Asymptomatic
bacteriuria
Culture sensitivity
urine
Non Pharmacology
No alcohol, no smoking, less sugar
consumption, extra egg whites
Drink enough water 1 L/day
Diet DM 1.345 kcal /day
Pharmacological
Inj. Ciprofloxacin 400 mg/12jam
Inf. Paracetamol 1 g/8 jam
Planning Monitoring:
• UL
• Sign of infection
• Temprature, BP
Planning Education:
• OUE hygine
• Don't hold urinate
• Sign of infection, or
septic
Physical Examination
T: 38.8
VAS 3
Abdomen:
suprapubic pain (+)
Lab 18/6/23
Leulosit 19.300, Neut% 82.5,
Limf% 12.6
Urinalysis 08/06/2023
Cloudy
Prot-Albumin 2+
Sediment Urine, leucosite 2+
Leucocyte 10-25
Eritrosit 5-10
Bacteri 1+
Urinalysis 18/06/2023
Cloudy
Prot-Albumin 3+
Sediment Urine, leucosite 1+
Leucocyte 5-10
Eritrosit 8-15
INITIAL PLAN
6. CUE AND CLUE Problem List Initial Diagnosis Planning Diagnosis
Planning
Therapy
Planning
monitoring
Mrs S/ 49 yo
• Weight loss since last month
• Decreased appetite (+), nausea vomiting (-)
• Urine approximately 2 glasses / day
• DM since 3 year ago
• HT (-)
5. Azotemia 5.1 AKI Stage 1
Acute insult : PNC,
volume depletion
Cronic insult: DKD
5.2 ACKD
Abdominal
Ultrasound
Non Pharmacology
No alcohol, no smoking, less sugar
consumption, extra egg whites
Drink enough water 1 L/day
Diet DM 1.345 kcal /day
Pharmacology
Rehydrate according to mild to
moderate dehydration :
• 109/100 x 45 x 30 = 1471 +
maintenance 1500cc = 2971 cc
Loading 1000cc NS in 8 hours, then
the 1000cc NS in 16 hours
Maintenance NS 1500 cc/24 h
Planning Monitoring :
- Ur/Cr per 48 h
- Urine output
- Fluid Balance
- Sign and symtomps
of electrolit
imbalance
Planning Education
- Drink enough water
- Record the volume
of urine per day
- Explain the cause of
the patient's kidney
disorder
- avoid nephrotoxic
drugs
Physical
Examination:
UO: 450cc/24 h
BC: 0.4 cc/kgbb/h
Dry lip (+), dry
turgor (+)
Who dehydration:
7
Laboratory Findings:
18/06/23
Ur 61 / Cr 1.87
eGFR 33 / BUN: Cr = 15
K 3.7
08/06/23
Ur 58.5 / Cr 2.25
K 3.16
Urinalysis 08/06/2023
Cloudy
Prot-Albumin 2+
Sediment Urine, leucosite 2+
Leucocyte 10-25
Eritrosit 5-10
Bacteri 1+
Urinalysis 18/06/2023
Cloudy
Prot-Albumin 3+
Sediment Urine, leucosite 1+
Leucocyte 5-10
Eritrosit 8-15
INITIAL PLAN
7. CUE AND CLUE Problem List Initial Diagnosis
Planning
Diagnosis
Planning
Therapy
Planning
monitoring
Mrs S/ 49 yo
• Head ache (-)
• History of one sided body weak (-), Sudden
black out (-), chest pain (-)
6. Trombocytosis 6.1. Reactive -
inflammation
6.2. Essential
Blood smear
Bleeding time
Non-Pharmacology:
(-)
Pharmacology:
Treat underlying disease first
Planning Monitoring :
• CBC evaluate
• Planning Education
• Explain about the
possible cause
Trombocytosis
• Educate to patient if
symptoms of chest pain,
breathless, head ache to
call a doctor
Phy. Exam:
Splenomegaly (-)
Lab 18/06/23
Tromb 505.000
Lab 12/06/23
Tromb 506.000
INITIAL PLAN
8. CUE AND CLUE Problem List Initial Diagnose Planning Diagnose
Planning
Therapy
Planning
monitoring
Mrs S/ 49 yo
• Decreased appetite (+), nausea vomiting (-)
• Lump at stomach since 3 years. Initially a
lump in the left stomach, getting bigger
until lower stomach
• History of foamy urine (-)
7. Moderate
Hipoalbuminemia
7.1. Renal loss
7.2. Extra renal loss
24 hour urine protein Non Pharmacology
No alcohol, no smoking, less sugar
consumption, extra egg whites
Drink enough water 1 L/day
Diet DM 1.345 kcal /day
Pharmacology
Albumin supplementation 3 x 2 caps
Consider to give:
Albumin flash 20% 100cc if Albumin <
2.5
Planning Monitoring :
- Edem
- Urine output
- Albumin evaluation
Planning Education
• eat high protein
foods like eggs, fish,
meat
Objective
Abdomen : shifting
dullnes (-), undulation
(-)
Edem (-)
Lab 08/06/23
Albumin 2.25
Urinalysis 08/06/2023
Prot-Albumin 2+
Urinalysis 18/06/2023
Prot-Albumin 3+
INITIAL PLAN
9. CUE AND CLUE Problem List Initial Diagnose Planning Diagnose
Planning
Therapy
Planning
monitoring
Mrs S/ 49 yo
• Fever since yesterday
• Urinate decrease, low back pain, fever since
yesterday
8. Leukositosis 8.1 Bacterial Infection
8.2 Paraneoplastic
syndrome
Blood smear
Blood culture and
sensitivity
Non Pharmacology
No alcohol, no smoking, less sugar
consumption, extra egg whites
Drink enough water 1 L/day
Diet DM 1.345 kcal /day
Pharmacology
Inj. Ciprofloxacin 400 mg/12jam
Inf. Paracetamol 1 g/8 jam
Planning Monitoring :
• Fever, abdominal
pain
• Temp
• UL evaluation
• CBC
Planning Edukasi
• Explain about step
for diagnosed the
disease and how to
treatment
Objective
T: 38.8
VAS 3
Lab 18/06/23
Leu19.300 / Neut%
82.5 / Limf% 12.6
Lab 12/06/23
Leu 12.4600 /N% 70.3/
L% 19.2
Lab 08/06/23
Leu 22.380 / Neut%
80.6 / Limf% 12.7
INITIAL PLAN
10. CUE AND CLUE Problem List Initial Diagnosis
Planning
Diagnosis
Planning
Therapy
Planning
monitoring
Mrs S/ 49 yo
• Decreased of appetite (+) weakness
• Urine approximately 2 glasses / day
9. Mild
dehydration
Non-Pharmacology:
No alcohol, no smoking, less sugar
consumption
Drink enough water 1 L/day
Diet DM 1.345 kcal /day
Pharmacology:
Rehydrate according to mild to moderate
dehydration :
• 109/100 x 45 x 30 = 1471 +
maintenance 1500cc = 2971 cc
Loading 1000cc NS in 8 hours, then the
1000cc NS in 16 hours
Maintenance NS 1500 cc/24 h
Planning Monitoring
:
• Nausea vomite
• SE per 72 h
• UO/Fluid Balance
• Planning
Education
• eat little but often
• Drink enough water
• Avoid dehydration
Phy. Exam:
UO: 450cc/24 h
BC: 0.4 cc/kgbb/h
Dry lip (+), dry turgor (+)
Who dehydration: 7
Lab 18/06/23
Na 126, Na
corrected 136
Osm 285
RBG 418 mg/dl
INITIAL PLAN
11. THEORY AND GUIDELINE
PPDS-1 Ilmu Penyakit Dalam - Fakultas Kedokteran Universitas Lambung Mangkurat/ RSUD Ulin Banjarmasin
12. Problem Analysis
Herediter Non Herediter
• Smoking
• Obesity
• Hipertension
• Expose chemical (ex
trichloretil,benzene,ben
zidine,cadmium,herbici
de,vinil chloride
• Longer use NSAID
• Hep C infection
• Von hipel lindau
syndrome
• Papilary renal
carcinoma
• Birth hough dube
syndrome
• Hereditary renal
carcinoma
Renal cell carcinoma
RBC production
Disturbed function
renal
Anemia
DM tipe 2
Overgrowth size
Gigantic Hidonefrosis
sinistra
Polipoid mass VU
AKI
Filtration
dysfunction
Hipercatabolic
Hipoalbumin
Paraneoplastic
Leucocytosis
+
Trombocytosis
Hiponatremia
13. RCC
PPDS-1 Ilmu Penyakit Dalam - Fakultas Kedokteran Universitas Lambung Mangkurat/ RSUD Ulin Banjarmasin
14.
15.
16.
17.
18.
19. Anemia
PPDS-1 Ilmu Penyakit Dalam - Fakultas Kedokteran Universitas Lambung Mangkurat/ RSUD Ulin Banjarmasin
20.
21.
22. Type II Diabetes Mellitus
PPDS-1 Ilmu Penyakit Dalam - Fakultas Kedokteran Universitas Lambung Mangkurat / RSUD Ulin Banjarmasin
23.
24.
25.
26.
27.
28.
29. AKI
PPDS-1 Ilmu Penyakit Dalam - Fakultas Kedokteran Universitas Lambung Mangkurat/ RSUD Ulin Banjarmasin
30.
31.
32.
33. UTI
PPDS-1 Ilmu Penyakit Dalam - Fakultas Kedokteran Universitas Lambung Mangkurat/ RSUD Ulin Banjarmasin
34. RISK FACTOR ANALYSIS
PROBLEM THEORY FACTUAL
UTI Common cause of UTI
• Female anatomy
• Sexual activity
• Certain types of birth
control. Menopause
• Urinary tract
abnormalities
• Blockages in the urinary
tract
• A suppressed immune
system.
• Catheter use
• A recent urinary
procedure.
MayoClinic
Female Anatomy
37. diagnose
Urinalysis
• For symptomatic UTIs, most patients have more than 10 leukocytes/
mm
• Presence of nitrite on a urinalysis is another marker of UTIs
• Bacteri does not always indicate positive or negative result since the
possibility of contamination or low bacteria burden