11 YR OLD FEMALE WITH FACIAL PUFFINESS

202352852 r alekya
CASE HISTORY AND CLINICAL FINDINGS
COURSE IN THE HOSPITAL:
A 11 YEAR OLD FEMALE CAME WITH COMPLAINTS OF FACIAL PUFFINESS SINCE 1 MONTH
AND SHE HAD H/O FEVER LASTED FOR 3-4 DAYS RELIEVED ON MEDICATION FOLLOWED BY
H/O COUGH FOR 3-4 DAYS RELEVED ON MEDICATION, AFTER 10 DAYS PATIENT
DEVELOPED FACIAL PUFFINESS IN EARLY MORNING RELEVING IN EVENING ON ITS OWN.
AND THEN SHE WAS FURTHER INVESTIGATED AND EVALUATED AND PROVISIONALLY
DIAGNOSED AS NEPHROTIC SYNDROME AND SHE WAS ON CONSERVATIVE MANAGEMENT
GENERAL EXAMINATION-
THE PATIENT IS CONSCIOUS, COHERENT, COOPERATIVE
NO SIGNS OF PALLOR, ICTERUS
NO CYANOSIS, CLULBBING, EDEMA, LYMPHADENOPATHY
VITALS:
TEMP: AFEBRILE
PR: 84 BPM
RR: 18 CPM
BP: 100/60 MM HG
SPO2: 96% @ RA
CVS: S1, S2 HEARS, NO MURMURS
RS: BAE+, NVBS
TRACHEA: CENTRAL
NO DYSPNOEA AND WHEEZE
NO RHONCHI
ABDOMEN: NON TENDER, SOFT
LIVER AND SPLEEN NOT PALPABLE
BOWEL SOUNDS HEARD
CNS: NFND
Investigation
COMPLETE URINE EXAMINATION (CUE) 24-11-2023 03:39:PM
COLOUR
Pale yellow
APPEARANCEClear
REACTION
Acidic
SP.GRAVITY1.010
ALBUMIN++++
SUGARNil
BILE SALTSNil
BILE PIGMENTSNil
PUS CELLS2-
EPITHELIAL CELLS1-2
RED BLOOD CELLS0-1
CRYSTALSNil
CASTSNil
AMORPHOUS DEPOSITSAbsent
OTHERSNilBLOOD UREA24-11-2023 03:39:PM13 mg/dl30-10 mg/dlSERUM CREATININE24-11-
2023 03:39:PM0.6 mg/dl0.7-0.3 mg/dlLIVER FUNCTION TEST (LFT) 24-11-2023 03:45:PMTotal
Bilurubin0.40 mg/dl1-0 mg/dlDirect Bilurubin0.18 mg/dl0.2-0.0 mg/dlSGOT(AST)17 IU/L31-0
IU/LSGPT(ALT)13 IU/L34-0 IU/LALKALINE PHOSPHATE238 IU/L369-54 IU/LTOTAL PROTEINS4.3
gm/dl8-6 gm/dlALBUMIN1.7 gm/dl5.4-3.8 gm/dlA/G RATIO0.67SERUM CHLORIDES24-11-2023
03:45:PM101 mmol/L109-98 mmol/LCOMPLETE URINE EXAMINATION (CUE) 24-11-2023
08:01:PMCOLOURPale
yellowAPPEARANCEClearREACTIONAcidicSP.GRAVITY1.010ALBUMIN++++SUGARNilBILE
SALTSNilBILE PIGMENTSNilPUS CELLS10-12EPITHELIAL CELLS4-6RED BLOOD CELLS14-
16CRYSTALSNilCASTSNilAMORPHOUS DEPOSITSAbsentOTHERSNilHBsAg-RAPID24-11-2023
08:04:PMNegative Anti HCV Antibodies - RAPID24-11-2023 08:04:PMNon Reactive
24 HRS URINE CREATINE-1.4G/DAY
24 HRS URINARY PRTEIN-1320MG/DAYTotal Cholesterol :471 Child : Desirable <170 Borderline
high 170 - 199 High >199 Adult : Desirable <200 Borderline high 200 - 239 High >239Triglycerides :
mg/dl 0-150 mg/dlHDL Cholesterol : mg/dl 40-65 mg/dlLDL Cholesterol : mg/dl. 0-100 mg/dl.VLDL :
12-40 mg/dl
USG :
IMPRESSION: MINIMAL INTERBOWEL FLUID NOTED.
DIAGNOSIS
MINIMAL CHANGE DISEASE
ADVICE AT DISCHARGE
TAB SHELCAL 250 MG PO OD X7 DAYS
TAB WYSOLONE 20 MG (2----0----0)(8 AM AND 8 PM) PO BD X 2 WEEKS
PROTEIN RICH DIET

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