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Agenda
To discuss management of Nephrotic Syndrome in Children
Programme
| Principal Discussant |
: |
Dr VijayaKumar
Paediatric Nephrologist
Chennai |
| Date & Time |
: |
07 August 2005, 8:30 am |
| Venue |
: |
Coimbatore Kidney Centre, Coimbatore |
Ground Rules
Introduction of the Moderators & Principal Discussant |
: |
Dr. K. S. Ramalingam, M.D.,
Nephrologist
Coimbatore Kidney Centre, Coimbatore. |
Details of Patient's problem
Test report & Treatment done |
: |
Click here to for Patient Particulars |
| Opening remarks by Moderators |
: |
Dr. Nandhini Kumaran, M.B.B.S., D.C.H.,
Consultant Paediatrician,
Clinic For Children, Coimbatore.
Dr. Rathinakumari, M.D., D.C.H.,
Prof. of Paediatrics,
Coimbatore Medical College, Coimbatore. |
Opening remarks and
starting of discussion
by the Principal Discussant |
: |
Dr. M. Vijayakumar, M.D.,D.C.H., DM
Consultant Paediatric Nephrologist
Chennai. |
| Discussion |
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| Conclusion |
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PATIENT PARTICULARS
12 year old girl, only child of non-consanguineous parents, father diabetic, less urine output, swelling of feet of 15 days duration.
| Weight |
: |
40.4 kgs |
| Height |
: |
153 cms |
Clinically fluid overload ++; BP 120/80, otherwise normal.
Investigations done on 26.5.05
| Urine routine |
: |
Pale, Yellow, Clear, Acidic
| Sugar |
: |
Nil |
| Albumin |
: |
++++ |
| Puscells Uncentrifuged |
: |
Nil |
| Puscells Centrifuged |
: |
6 - 7 |
| RBC |
: |
4 - 5 |
| Epith cells |
: |
5 - 6 |
|
| Urea |
: |
41 |
| Creatinine |
: |
0.9 |
| Potassium |
: |
3.3 |
| Sugar |
: |
69 |
| Total protein |
: |
4.4 |
| Albumin |
: |
1.7 |
| Uric acid |
: |
6.9 |
| Bilirubin |
: |
0.4 |
| Sodium |
: |
134 |
| Chloride |
: |
96 |
| Phosphorous |
: |
2.8 |
| SGPT |
: |
19 |
| Haemoglobin |
: |
14.1 |
| Total count |
: |
5300 |
| Differential count |
: |
| P |
53 |
| L |
38 |
| M |
4 |
| Meta |
3 |
| Band |
2 |
|
| ASO Titre |
: |
Negative < 200 IU/ml |
| ANA |
: |
Negative |
| c ANCA |
: |
Negative |
| p NACA |
: |
Negative |
ULTRASOUND ABDOMEN
| Findings |
: |
Right kidney measures 10.3 x 4.3 cms.
Left kidney measures 10.0 x 4.9 cms.
Normal sized kidneys with minimal increase in parenchymal echoes with prominent renal pyramids.
Bilateral Pleural Fluid
Mild to moderate ascites |
The child was treated with a specific drug from 26th May 2005
On 24th June urine routine was repeated and found to have no albumin.
On 3rd July
Urine routine showed albumin - trace
Urine spot calcium / creatinine < 0.2
Click here to download patient particulars
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