Case-Study-PDU-1

Jun 18th, 2015
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Albany State University
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HPI: About 3 weeks prior to admission, mother noted that the child had generalized edema and decreased urine output. Sought consult with the physician and were given Medrol 16 mg tab; 1 tab afer breakfast and 2 ½ tabs after dinner, Calcium Carbonate (CaCo3) 500 mg tab OD (once a day). Past History: Patient was admitted at VSMMC last 2011 for Peritoneal Dialysis for ARF (acute renal failure) secondary to RPGN (rapid progressive glomerulonephritis).

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Patient's ProfileGeneral Data:Name: Ralphfaniel D. Selim Gender: Male Age: 8 years oldAddress: Calero, Liloan, CebuDate of Birth: January 19, 2005Religion: Roman Catholic Father: Rockie P. SelimMother: Melona C. De GumaAdmission Date: April 06, 2013 Time: 4:30 PMChief Complaints/Reason for seeking care: Admitting Doctor: Mary Claudette M. AbadFinal Diagnosis: 1. Chronic Kidney Disease 2. Nephrotic Syndrome 3. Anemia S/P blood transfusion; S/P Peritoneal DialysisOperation done: 1. Tenckhoff insertion 2. Peritoneal DialysisAttending Physician: Dr. Cabral*Health Assessment upon Admission*HPI: About 3 weeks prior to admission, mother noted that the child had generalized edema and decreased urine output. Sought consult with the physician and were given Medrol 16 mg tab; 1 tab afer breakfast and 2 tabs after dinner, Calcium Carbonate (CaCo3) 500 mg tab OD (once a day).Past History: Patient was admitted at VSMMC last 2011 for Peritoneal Dialysis for ARF (acute renal failure) secondary to RPGN (rapid progressive glomerulonephritis).Unremarkable Alcohol: (-) Drug allergies (-)Condition on admission: conscious, coherent, orientedVital Signs: BP- 160/100 mmhg ; PR- 91 bpm ; RR-32cpmSkin: (+) pallor reduced skin turgorHEENT: Anicteric scleras, pink conjunctiva, PERRLACard

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