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26-year old man with bilateral leg edema.

Discussion in 'Case Studies' started by J.P.C. Peper, Aug 17, 2012.

  1. prof-shakeel

    prof-shakeel Well-Known Member

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    Acute glomerulo nephritis
     

  2. Dr Menna

    Dr Menna Active member

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    **Differential diagnosis of this case:
    lower limb edema suggestive for :
    1) Heart failure
    2)hepatic failure
    3) renal failure
    4) hypertension
    5)varicosities
    6)lymphangitis
    7)filariasis

    dark brown urine>>>heamturia suggestive for:
    1) Renal stones
    2) renal injury
    3)glomerulonephritis
    4)drug induced e.g rifampcin

    *this case is most probably suggestive to post streptococcal glomerulonephritis due to history of flu like symptoms preceding loin pain , hematuria and lower limb edoma .

    ** investigations to be done :
    1) kidney function tests "creatinine. potassium.phosphate.Ca"
    2)protineuria
    3)hematuria micrscopic and macroscopic
    4)albuminuria
    5)liver function tests
    6)ECG
    7)CT scan kidney
    8)inflammtory markers
    9) anti nuclear and complements to exclude SLE nephritis
    10) Blood Pressure
    11) CBC
    I can't remember anymore :)
     

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  3. prof-shakeel

    prof-shakeel Well-Known Member

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    Great work dr. Menna
     

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