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Presentation Transcript
slide1

A 30 year old femal patient presented in the emergency department with 60% burns and musculoskeletal injuries. The patient was stabilized in the surgery department and a blood sample was sent for routine investigations. After 36 hours of admission, surgeon advised measurement of 24 hours urine output.

Scenario 1

The patient responded to treatment and showed gradual improvement in health after 5 days of intensive care.

question
Question
  • 1) what is the probable etiology in this case?
  • 2) Enumerate clinical features?
  • 3) Explain pathophysiology for the same?
  • 4) Enumerate investigations advised in this case?
  • 5) Enumerate biochemical investigations ?
  • 6) Enumerate biochemical agents whose levels will be elevated? And why?
  • 7) What will be your Diagnosis in this case?
slide3

8) How you will treat this patient?

  • Scenario 2
  • The 24 hour urine report showed urine volume < 300 ml and presence of myoglobin in urine. The patient was managed aggressively and after 3 days her urine output increased suddenly to 3000 ml in 24 hours. Patient recovered in another 4-5 days.
  • What is pathophysiolgy in this scenario?
  • What will be the diagnosis in this case?
slide4

3) what is the reason for oliguria and diuresis?

  • 4) If patient had died and autopsy was performed. Enumerate histopathological features of renal tissue?
slide5

A 75 year old male patient presented in the out-patient department with vomiting, thirst, irritability ,decreased urine output an azotemia. Medical history of patient revealed daily consumption of ACE inhibitors and insulin since past 10 years.

  • What is the diagnosis?
  • What is the etiology ?
slide6

What is the pathophysiology in this case?

  • What is azotemia and uremia?
  • Enumerate clinical features of uremia?
  • How you will investigate this patient?
  • Enumerate treatment modalities ?