A 24/M with hydrouretronephros and cognitive impairment CBBLE UDHC similar cases
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Chief complaints
24 year old male who is a labourer , came with chief complaints of
Decreased urine output since 10 days
Shortness of breath since 10 days
Pedal edema since 10 days
Fever since 10 days
History of presenting illness
patient was apparently asymptomatic 3 years back. Then he developed decreased urine output for which he went to local hospital and scan was done which revealed hydronephrosis .10 days back he had a trauma to the left little finger and dorsum of right foot for which he went to local hospital and dressing was done .10 days back he developed shortness of breath which was insidious in onset and gradually progressive (grade 4 ) aggravated on walking relieved on medication .
Pedal edema since 10 days which was extending till ankle
Fever since 10 days which was continous , not associated with chills and rigour
I/v/o increased serum creatinine dailysis was initiated yesterday
PAST HISTORY:
Not a K/c/o DM , HTN , asthma , epilepsy , BA , TB ,CAD
No past surgical history
No previous blood transfusions
O/E:
Patient is Consious , coherent and co-operative
Afebrile
BP:130/80 mm hg
PR ; 88bpm regular
CVS :
NO engorged veins, no visible apex beat
JVP normal
Apex beat 6th intercostal space 1 cm lateral to mid clavivcullar line, S1 S2 +
RS : BAE +, NVBS
ECG
RFT:
Blood urea: 175 mg/dl
Serum creatinine : 9.3 mg/dl
Sodium : 144 meq/l
Potassium :3.6 meq/l
Chloride:106 meq/ l
ABG:
PH :7.3mmhg
Pco2:7.8mm hg
Po2:123 mmhg
St. Hco3:
Arterial doppler left limb
No critical stenosis in left upper limb
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