پاورپوینت ایستگاه داخلی (pptx) 37 اسلاید
دسته بندی : پاورپوینت
نوع فایل : PowerPoint (.pptx) ( قابل ویرایش و آماده پرینت )
تعداد اسلاید: 37 اسلاید
قسمتی از متن PowerPoint (.pptx) :
بنام خدا
برای بیماری با سابقه یبوست مزمن رادیوگرافی در روز پنجم بعد از خوردن Marker گرفته شده است لطفا“ آن را تفسیر کنید
ایستگاه 2
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ایستگاه 3
42 years old Man with oliguriaPLEASE WRITE YOURE DIAGNOSIS INNOTE BOOK END OF SLIDES
ایستگاه 4
10 d of weakness, hyperventilation, anorexia, nausea, vomiting, and intermittent back and flank pain. he is a little hypertensive, a little tachycardic, tachypneic, and afebrile. He appears acutely ill but not chronically ill. He has bibasilar rales and jugular venous distention. He has a pericardial friction rub and 2+ edema. He has no skin manifestations, or at least there wasn’t any mention of his skin.
The most significant findings
serum Creatinine of 13.2 mg/dl on presentation and a hematocrit of 30%. He has a serum protein of 6.4 and an albumin of 3.1 g/dl. He is hyponatremic, hypochloremic, and hyperkalemic, and his serum bicarbonate is 13 mEq/L. He has an anion gap of. The increment in his anion gap equals the decrement in his serum bicarbonate
There was 420 mg/d protein on a 24-h urine collection. On urinalysis, there was trace protein, 10 to 15 red cells per high-power field, and hyaline and granular casts. There were needle-shaped crystals of varying lengths
Anti-nuclear antibodies, C3, C4, and hepatitis B and C serology were normal or negative, and anti-neutrophil cytoplasmic antibodies (ANCA) and anti–glomerular basement membrane (GBM) antibody titers were sent off and are pending.
x-ray shows & ultrasound
congestive heart failure and volume overload despite the lack of a gallop on physical exam
renal ultrasound that showed 11- and 12-cm kidneys with increased echogenicity and no structural abnormalities
Kidney biopsy reveals
Dilated tubules
RBC proteines crystals
6 GLOMEROLES