65 F with AKI on CKD, Gastroenteritis,



Patient came with complaints of fever since 1 week, burning micturition since 5 days, generalized weakness since 5 days,  loose stools and vomitings since 2 days.


Patient was apparently asymptomatic 1 week ago then developed fever, high grade, associated with chills and rigor, relieved on medication, no diurnal variation.


Burning micturition since 5 days, generalized weakness since 5 days, vomitings since 2 days, 3-4 episodes per day, non bilious, non projectile, non bloodstained, content is food particles. Loose stools since 2 days, watery, small volume non blood tinged.Loss of Appetite +


H/o Multiple joint pains, LBA, knee pains, took nsaids outside.


H/o on and off fever since 1 month,

K/C/O CKD since 3 months on medication,

K/C/O Hypertension since 5 years on regular medication.






Swelling over left eyebrow due to fall from bed 1 week ago.



Foley’s was inserted 


Pedal edema absent



Pallor -absent

PERSONAL HISTORY

APPETITE : LOST
DIET: MIXED
BOWELS AND BLADDER: REGULAR
NO ADDICTIONS
GENERAL EXAMINATION:
PATIENT IS C/C/C
PALLOR+ ,ICTERUS, CYANOSIS, LYMPHADENOPATHY,EDEMA.
TEMP: 99.4 F
PR:116
RR: 24
BP: 130/80
SPO2 98 AT ROOM AIR
GRBS: 122 mg/dl
SYSTEMIC EXAMINATION
CVS :
S1 S2 Heard
RS: BAE +
CNS: No FND 
GCS: E4 V5 M6
GI: P/A SOFT NON TENDER NO ORGANOMEGALY

Investigations:







Treatment
















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