March monthly assessment

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Internal assessment

 1 .AKI secondary to ?Nephrotic syndrome secondary to uncontrolled diabetes mellitus, hypertension with Anemia https://www.ncbi.nlm.nih.gov/books/NBK538145/  2. Azotemia due to worsening of third spacing from intravascular depletion (pedal edema , ascites) and poorly controlled diabetes and hypertension  Anemia due to decreased levels of erythropoeitin which is produced in kidney  Hypoalbuminemia due to damage to glomerulus which increases albumin loss in urine. Chronic diseases like hypertension and diabetes also lead to albuminuria  Acidosis https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5648741/  Acidosis due to decreased tubular reabsorption of bicarbonate and its decreased production in relation to amount of acid synthesized   3. Sodium bicarbonate to correct acidosis  Kcl to correct hypokalemia . Actrapid insulin for management of diabetes https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341062/ https://pubmed.ncbi.nlm.nih.gov/14760...
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Thesis

 SERUM URIC ACID LEVELS IN TYPE 2 DIABETES MELLITUS AND ITS ASSOCIATION WITH CARDIOVASCULAR RISK FACTORS  Aim :  To study the effect of serum uric acid levels in type 2 diabetes mellitus and its association with cardiovascular risk factors.  Objectives :  To compare serum uric acid levels with other CVD risk factors (hypertension,dyslipidemia,obesity,smoking)among type 2 diabetic subjects.  To compare duration of diabetes and serum uric acid levels Sample size :140 Inclusion criteria : Patients with type 2 diabetes mellitus (irrespective of their glycemic status and duration of diabetes).  Patient’s age > 40 years.  Both sexes were included Exclusion criteria : Patients with the following conditions were excluded from the study   Age <40 yrs Renal failure.  On long term diuretics and steroids.  Chronic Alcohol consumers.  On antimetabolite and chemotherapy drugs.  Hepatic disorders.  Renal transplant pati...
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36 year old man with yellowish discoloration of eyes and urine since 3months

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A 36 year old male who is a master cook by occupation came to opd with complaints of yellowish discoloration of eyes and urine since 3 months HOPI: patient was apparently normal 1 year back ,then he developed lower back ache ,diagnosed with renal calculi and was operated. C/o fever since 3 months         Insidious in onset         Gradually progressive         Subsides on its own         More during nights C/o nausea since 3 months C/o vomitings ( 4 -5 episodes) food particles as content H/o weight loss since 1month C/o pain abdomen intermittently and was admitted in an hospital thrice till now and diagnosed with chronic pancreatitis H/o usage of Herbal medicine 1 month back ,6 times/day for a week H/o pedal edema and abdominal distension 1 month back , used medication for this in Nalgonda PAST HISTORY: Alcoholic and tobacco chewer since 20 years H/...
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