48F With Metabolic Syn Fever, AKI Telangana PaJR

 

06-03-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

Afternoon ward: 48F with metabolic syn had fever 2 weeks back and presented with AKI, mild

 proteinuria suggestive of mild glomerular injury and shortness of breath with electrophysiological and

 imageology evidence of Hfpef (LVH with LA dilation). Made gradual recovery in her multi organ

 deterioration after a few days of supportive Mx.

[06-03-2025 15:10] PPM 3: Acute Respiratory Distress Syndrome (ARDS).

Reason: -

1) bilateral diffuse infiltrates are characteristic.

2) pneumonia, trauma.

[06-03-2025 15:13] PPM 1: It's just pulmonary edema which can be cardiogenic or non-cardiogenic

 (non-cardiogenic is also called ards). In this patient it is cardiogenic pulmonary edema. So the

 diagnosis and distinction between cardiogenic and non-cardiogenic pulmonary edema is more to do

 with the additional data around the patient and not a pure radiology diagnosis.

[06-03-2025 16:24] PPM 2: Surely there's some pericardial effusion here?

[06-03-2025 16:24] PPM 2: Apart from the obvious heart failure and cardiomegaly

[06-03-2025 16.39] PPM 1 - Yes, some mild posterior pericardial effusion noted yesterday on echo.

 May have had more earlier.