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Coimbatore Kidney Centre is organizing a Continuing Medical Education Programme on Urinary Tract Infection in children on 06 November 2005 at 10 am.
Aim of the meeting
To bring to the notice of practicing Paediatricians/ Paediatric surgeons /Urologists / Physicians and Family Practitioners the latest advances in diagnosis and management of urinary tract infection and help to formulate specific practice guidelines.
Format of the meeting
Case histories of two children with urinary tract infection will be presented. Principal Discussants (Paediatric Nephrologist and Paediatric Urologist) will be asked to give their views. The participants will be encouraged to ask questions and clear their doubts. The moderator will conduct the session in such a way that useful practice guidelines will be suggested.
Faculty
| Principal Discussants |
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Dr.M.Vijayakumar, M.D., D.C.H., D.M.
Paediatric Nephrologist.
Chennai & Coimbatore Kidney Centre, Coimbatore
Dr.V.Sripathi, M.S., M.Ch.,F.R.A.C.S.
Consultant Urologist
Chennai
Dr.P.Thirumalaisamy, M.S., M.Ch.
Consultant Urologist
Coimbatore Kidney Centre, Coimbatore |
| Moderator |
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Dr.K.S.Ramalingam, M.D.
Nephrologist
Coimbatore Kidney Centre, Coimbatore. |
| Date |
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06 November 2005 |
| Time |
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10:00 am to 1:00 pm |
| Venue |
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Coimbatore Kidney Centre, Coimbatore |
| Registration |
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Call Mrs.Vasanthi at 0422 – 5351110
Register online at
http://www.coimbatorekidneycentre.com/register.php |
| Case History |
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Click here for Case Histories |
CASE HISTORIES
Case History: Patient 1
Female, 8 years old, bedwetting since childhood, day time urgency,
Dysuria and fever one month ago,
Nocturnal enuresis+
Complains of repeated upper respiratory symptoms
History of intake of homeopathic drugs for infection
Parents - nonconsanguineous
Father - hypertensive
BP – 90 /60
Lab Tests
| Urine |
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| Albumin |
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Nil |
| Sugar |
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Nil |
| Deposits |
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30 – 35 puscells / hpf
1-2 RBCs / hpf |
| Bacteria |
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Plenty |
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| Blood |
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Urea, 20, creatinine 0.6, sugar 79, Hb 12.5
Total count 9200 |
| Urine culture |
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E-coli
More than 10,000 cfu/ml
Sensitive to cephalexin, ceftriaxone,
Cotrioxamole,
Norfloxacin |
| Ultrasound |
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Right kidney 7.8 x 2.9 cms. - normal
Left kidney 8.3 x 4.0 cms. - normal
No residual urine |
| Treatment |
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Treated with antibiotic
MCU done - Grade II reflux - left
(upto pelvis) |
Case History: Patient 2
MALE, 4 yrs old, pain left side of abdomen – duration 2 years,
cries while passing urine, frequent urination small in quantity – duration – 2 years,
mild fever on and off – duration – 1 month.
Parents - no specific disease, non consanguineous.
On examination normal except for suprapubic tenderness, right renal
angle tenderness,
BP – 90/60
Lab Tests
| Urine |
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| Albumin |
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+ |
| Sugar |
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Nil |
| Deposits |
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20 pus cells / hpf
10 RBCs / hpf |
| Bacteria |
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present in centrifuged sample |
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| Blood |
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Urea 18, creatinine 0.6 |
| Urine culture |
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E-coli
1,80,000 cfu/ml
Sensitive to amikacin, ampicillin, cefuroxime |
| Ultrasound |
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Right kidney : 8.9 x 3.2 cms. ….. normal
Left kidney : Gross hydronephrosis |
| Treatment |
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1. Antibiotic
2. Surgery done |
| Further investigations |
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VCU & IVP |
Click here to download case histories
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