Preventive Nephrology

7 year-old female Primi gravida. Delivered by C.Sspinal anasethia> full term baby 10 hours later, the patient returned to home, she complained from headache. The obstetrician ordered to give fluids. Day 1 Severe Headache, malaise, lethargy and dizziness. The family called the physician . No bleeding Fluids, analgesics, assurance. Day 2 The patient became dyspneic . The obstetrician asked the family to consult chest physician. The chest physician ordered CBC which revealed leukocytosis and HB 9 g/dl. Blood pressure : 100/70 mmHg. He called the obstetrician and started broad spectrum antibiotic. Day 3 The patient became feverish. The obstetrician accompanied the patient to the emergency hospital . They spent 10 hours in the hospital . CBC revealed leukocytosis.us revealed small collection 5*5 The patient returned to her locality Diagnosis :infected collection Treatment: iv antibiotics Day 4 Her level of consciousness is deteriorating. She was referred to ICU Oliguric .90/60 mmhg Creatinine 5 mg/dl K 6.5 m.mol/l PH 7.1 HCO3 Nephrology consultation.

Author(s): Mohamed Alsaid Abdellatif

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