تويت
اّمل ترجمة هذا التقرير الى العربية ولكم منا كل التقددير والعرفان -------------------------------------------------------------------------------------------
DIAGNOSES:
1 . Systemic lupus erythematosus with class-IV lupus nephritis.
2. Rheumatoid arthritis.
3 . Diabetes mellitus.
4. Hypertension.
5 . Hypothyroidism.
BRIEF HISTORY:
This is a 46-year-old female who is known to have the above-mentioned medical problems, on regular follow ups in KFSH&RC-Jeddah. She lost her follow-up since 2006 due to eligibility problems. She presented to ER at KFSH&RC-Jeddah on April 20, 2008 with generalized fatigbility, nausea and vomiting with decreased urine output and bilateral lower limb swelling i.e. gradually over the last one month.
The patient was diagnosed to have rheumatoid arthritis in 1992 and lupus in 2004. She was found to have class-TV lupus nephritis based on a biopsy taken in 2004.
PHYSICAL EXAMINATION:
The patient was conscious, oriented, not in pain, b4 she was in mild distress. She was mildly dehydrated. JvP was not raised. Skin and mucous membrane exmination: Normal. Chest examination: Decreased breath sounds bilaterally, but no crepitations. Cardiovascular system: 51+52+0. Abdomen: Soft, lax, no organomegaly. CNS examination: Grossly intact.
INVESTIGATIONS:
Creatinine 783, potassium 4.8, sodium 143, chloride 104, CO2 15.
WBC 14, hemoglobin 80, platelets 410.
IMPRESSION/PLAN:
This is a 46-year-old female who is known to have lupus plus rheumatoid arthritis with class-TV lupus nephritis, approaching end stage renal disease. She needs admission for insertion of Permacath and initiation of hemodialysis and transplant workup.
This medical report was issued upon the request of the family for renewal of her eligibilit
DIAGNOSES:
1 . Systemic lupus erythematosus with class-IV lupus nephritis.
2. Rheumatoid arthritis.
3 . Diabetes mellitus.
4. Hypertension.
5 . Hypothyroidism.
BRIEF HISTORY:
This is a 46-year-old female who is known to have the above-mentioned medical problems, on regular follow ups in KFSH&RC-Jeddah. She lost her follow-up since 2006 due to eligibility problems. She presented to ER at KFSH&RC-Jeddah on April 20, 2008 with generalized fatigbility, nausea and vomiting with decreased urine output and bilateral lower limb swelling i.e. gradually over the last one month.
The patient was diagnosed to have rheumatoid arthritis in 1992 and lupus in 2004. She was found to have class-TV lupus nephritis based on a biopsy taken in 2004.
PHYSICAL EXAMINATION:
The patient was conscious, oriented, not in pain, b4 she was in mild distress. She was mildly dehydrated. JvP was not raised. Skin and mucous membrane exmination: Normal. Chest examination: Decreased breath sounds bilaterally, but no crepitations. Cardiovascular system: 51+52+0. Abdomen: Soft, lax, no organomegaly. CNS examination: Grossly intact.
INVESTIGATIONS:
Creatinine 783, potassium 4.8, sodium 143, chloride 104, CO2 15.
WBC 14, hemoglobin 80, platelets 410.
IMPRESSION/PLAN:
This is a 46-year-old female who is known to have lupus plus rheumatoid arthritis with class-TV lupus nephritis, approaching end stage renal disease. She needs admission for insertion of Permacath and initiation of hemodialysis and transplant workup.
This medical report was issued upon the request of the family for renewal of her eligibilit
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