AKI 2° to Rt nephrectomy 


Case scenario:-

PT aged 40 yrs F Farmer by occupation came to opd with c/o of Vomitings since 15 days nausea since 15 days

Pt was apparently normal 4yrs back then she had burning micturition pedal edema and rt loin pain and diagnosed with renal calculi(2 to 3 cm)

Pt has right kidney nephrectomy in 2018

HISTORY OF PRESENT  ILLNESS

Since 10 to 15 days pt had nausea and Vomiting 

HISTORY OF PAST ILLNESS

Right kidney nephrectomy in 2018

N/k/c/o BP and HTN

PERSONAL HISTORY 

Mixed diet

Married

Farmer by occupation 

PHYSICAL EXAMINATION 

Patient is conscious, coherent and cooperative

•Moderately built and Moderately nourished

•No signs of - Pallor

                       Cyanosis

                       Clubbing

                       Icterus



VITALS


•Temp - 98.4F

•Pulse rate - 82BPM

•RP - 16/min

•BP - 130/70 mm hg

•SPO2 - 98

SYSTEMIC EXAMINATION

CARDIOVASCULAR SYSTEM

•S1, S2 heard

•No murmurs

RESPIRATORY SYSTEM:

 

•Position of trachea - central

•Breath sounds - vesicular

ABDOMEN

•Shape - scaphoid

•No Tenderness

•No palpable mass

•No free fluid

•Spleen and liver not palpable

CENTRAL NERVOUS SYSTEM:

•Intact

•No focal defect

•No abnormality detected 


INVESTIGATIONS 

Creatinine:-6.0 gm/dl

Urea:113 gm/dl

USG

Left grade II RPD




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