30 year old RENAL TRANSPLANT RECIPIENT with deranged RFT

 Chief complaints 

Renal transplant recipient came with deranged RFT values on routine investigation done for his renal transplant came to kamineni on 7/2/22

No c/o pedal odema 

No c/o SOB ,facial puffiness 

HOPI 

Patient was apparently asymptomatic then on routine investigation done for renal transplantation revealed elevated creat levels 

Sr creat - 3.5mg/dl 

Urea - 85 mg/dl 

No h/o decreased urine output ,urinary retention

Past history 

H/o previous admissions for dialysis for 2 years (CRF) 

K/c/o HTN on tab amlong 10 mg - 5 mg - 10 mg 

Tab.arkamime 0.2 mg po/tid 


H/o 2 times intubation and extubation i/v/o pulmonary oedema , hypertensive emergency and resistant hypertension 2 years back 

H/o loculated pleural effusion and icd drainage 2 years back 

Treatment history 

K/c/o htn on tab amlong and arkamine 

Surgical history 

K/c/o renal transplant recipient 

Personal history 

Single 

Appetite - normal 

Bowel and bladder movement - normal 

No known addictions 

Family history - not significant 

General examination


No pallor, icterus, cyanosis,lymphadenopathy, dehydration

Bp- 130 / 80 mm hg 

PR - 88 BPM 

RR- 16 cpm 

Temperature - afebrile 

Spo2 - 98 %at room air 


Systemic examination 

Cvs - s1,S2 heard ,no murmur 

CNS - NAD 

R/S - BAE + ,trachea central 

















INVESTIGATIONS 


















 PROVISIONAL DIAGNOSIS 

K/C/O CRF with post live renal transplant 

Presented with ? Acute renal failure 

Secondary  to tacrolimus toxicity or secondary  to chronic infection 

Treatment given 


Tab amlong po/tid 10mg x5mg x10mg 

Tab arkamine 0.2 mg /Tid 

Tab tacrolimus 3mg-x-2 mg 

Tab mycofenolate 750 mg / Tid 

Tab enalapril 2.5mg po/od 9 am 

Cap b complex po/od 

Tab pan 40 mg /po/sos 

BP,GRBS monitor TID ,I/O MONITORING 










Comments

  1. AnonymousFebruary 22, 2022 at 9:40 PM


    I am bold enough among many others to state that there is now a potent cure to this sickness but many are unaware of it. I discovered that I was infected with the virus 3 months ago, after a medical check-up. My doctor told me and I was shocked, confused and felt like my world had crumbled. I was dying slowly due to the announcement of my medical practitioner but he assured me that I could live a normal life if I took my medications (as there was no medically known cure to Herpes). I went from church to church but soon found that my case needed urgent attention as I was growing lean due to fear of dying anytime soon. In a bid to look for a lasting solution to my predicament, I sought for solutions from the herbal world. I went online and searched for every powerful trado-medical practitioner that I could sever, cos I heard that the African Herbs had a cure for Herpes syndrome. It was after a little time searching the web that I came across one Dr Itua herbal treatment (A powerful African Herbal Doctor), who offered to help me at a monetary fee. I had to comply as this was my final bus-stop to receiving a perfect healing. My last resolve was to take my life by myself, should this plan fail. At last it worked out well. He gave me some steps to follow and I meticulously carried out all his instructions. Last month, to be precise, I went back to the hospital to conduct another test and to my amazement, the results showed that negative,Dr Itua Can As Well Cure The Following Desease…Cancer,Hiv,Herpes,Shingles, Hepatitis B,Liver Inflammatory,Diabetes,Fibroid,Parkinson's,Alzheimer’s disease,You can free yourself of this Herpes virus by consulting this great African Herbal Doctor via this email: drituaherbalcenter@gmail.com. He will help you and his herb medication is sure. He has the cure for all diseases .You can visit his website www.drituaherbalcenter.com for more information about Dr Itua Works.

    ReplyDelete
  2. Dr Kulkarni Sai charanFebruary 23, 2022 at 10:34 PM

    Thanks Tasha Moore for your inputs but as this is chronic rejection may be due to low drug levels how herbal medicine deals with it.. are there any herbal medications which suppress immunity..?? Any studies or reports..??

    ReplyDelete

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