Kims GM Exam-1
1) What is your complete anatomic and etiologic diagnosis from the data available in the patient's online record linked above? Ans)Pt kidney’s have been affected because of the presence of comorbid condition’s like Diabete’s(5yr’s) led to Diabetic nephropathy resulted in hypoalbuminemia leading to Pedal edema. Classic presentation of kidney failure i.e pedal edema,abdominal distension,Facial puffiness.Where the edema have been progressed from toe to face 2)Reason’s for Azotemia=Because the kidney’s could not throw out the toxic product’s like NH4,Urea Anemia=Decreased erythropoetin Hypoalbuminemia=Nutritional Deficiency & Renal loss Acidosis=Bicarbonate loss due to renal failure leading to it 3)IV bicarbonate is C/I renal failure https://www.medsafe.govt.nz/Profs/Datasheet/s/SodiumBicarbonateinjAFT.pd 4)pt condition have been detoriated on 3rd day.Her shortness of breath have been not relieved with diuretic’s.To make pt symptomatically stable dialysis have been done 5.CAU