PSGN

Question 1

TASK

Question 2

D/D

Question 3

HX

Question 4

EXAM

Answer 4

-BP 140, PR
TEMP
-EDEMA : perirobital, no ascites pleural effusun
-cvs
-liver: palpable just below costal edge
-ENT MAD
-OPTIC FUNDI
-UDP :positive for protein

Question 5

explanation

Answer 5

-Original streptococcal infection>intiated an immune reaction against the bacteria>this reaction having major effect on the kidneys
-this cause decrease UOP and salt and water retention>swelling around eyes
-hospital admission required in view of acute presentation and high BP
-and further investigate to confirm PSGN

Question 6

IX HOSPITAL

Answer 6

-urea, cr,
-inflmmatory markers C3, C4 ASOT, DNASE B
-FBE, URINE microscopy and culture

Question 7

tx

Answer 7

admission
-strict fluid balance, restricted fluid
-4hrly bp, test all urine
-daily weight
-low protein, low salt/high carbohydrate
-antihypertensive treatment
-penicillin therapy maybe suggested

Question 8

follow up

Answer 8

-regular bp/rft weekly>monthly>quartery
-regular urine analysis>hameaturis persist upto two years
-long term prognosis excellent