Online exam 1.Anatomical diagnosis- Glomerulus of the kidney Histological? Loss of effacement of foot process of podocytes of basement membrane ? Membranous glomerulonephropathy etilogical diagnosis- Diabetes,hypertension 2.azotemia -it is defined as increase in Blood urea nitrogen with BUN to create ratio less than 20:1 suggestive of either renal or post renal azotemia, https://www.ncbi.nlm.nih.gov/books/NBK538145/ The causes for post renal ruled out by radiological imaging. b.anaemia-erythropoeitin deficiency in CKD,uraemia induced inhibitors of erythropoeisis, shortened erythrocyte survival, https://jasn.asnjournals.org/content/23/10/1631 c.hypoalbuminemia-1.reduced protein consumption and inflammation. ,due to downregulation production of albumin mrna by the liver leading to decreased synthesis ,increased catabolism and vascular permeability. https://jasn.asnjournals.org/content/21/2/223 ...
Question 1(55/M) https://sreejaboga.blogspot.com/2020/11/is-online-e-log-book-to-discuss-our.html?m=1 1)pain in the epigastric region differentials Inferior wall MI(normal ecg and echo) Acute pancreatitis(radiation to the back)-usg finding and elevated serum amylase level Perforated peptic ulcer Causes of acute pancreatitis- harrison pg no 2348 Gall stones : https://gi.org/topics/gallstone-pancreatitis/ This occurs at the level of the sphincter of Oddi, a round muscle located at the opening of the bile duct into the small intestine. If a stone from the gallbladder should travel down the common bile duct and get stuck at the sphincter, it blocks outflow of all material from the liver and pancreas. This results in inflammation of the pancreas that can be quite severe. 2)sob- acidosis due to renal failure ? Ards secondary to sepsis/pancreatitis Pleural effusion due to acute pancreatitis ...
Comments
Post a Comment