Clinopathalogical Conference - PowerPoint PPT Presentation
1 / 8
Title:
Clinopathalogical Conference
Description:
General appearance:A stunted, apathetic girl with protuberant abdomen and ... Intravenous pyelogram:Bilateral enlarged kidneys but no other abnormalities. ... – PowerPoint PPT presentation
Number of Views:49
Avg rating:3.0/5.0
Title: Clinopathalogical Conference
1
Clinopathalogical Conference
- 2004-05
2
Chief Complaints
- A 6 ½-year-old girl was admitted to hospital
because of failure to thrive.
3
Physical Examinations
- General appearanceA stunted, apathetic girl with
protuberant abdomen and slender extremities. - BW17 Kg (10th percentile) BH96.2 cm (lt3rd
percentile). - Mild generalized muscle hypotonia and enlarged
abdomen.
4
Laboratory studies
- Serum uric acid0.55 mmol/l (0.13-0.39)
- Serum aspartate aminotransferase0.71 µmol.s-1/l
() - Alkaline phosphatase602 IU/l (145-420)
- Triglycerides0.6 g/dl (0.35-1.14)
- Blood sugar1.7 mmol/l (3.3-5.5)
- Blood lactate8.9 mmol/l (0.8-1.5)
5
Laboratory Studies
- ABGpH7.32, HCO3-9 mmol/l
- Repeated Urianalysesno proteinuria or
abnormality in sediment. - Urine cultureNo growth.
6
Other studies
- Intravenous pyelogramBilateral enlarged kidneys
but no other abnormalities. - Bone radiographsNo rickets or hyperparathyroidism
.
7
Hospital Course
- She was treated with sodium bicarbonate for
metabolic acidosis. - Despite increasing the doses or oral sodium
bicarbonate to 8 mmol/Kg/day, metabolic acidosis
persisted.
8
Problems List
- Major Problems
- Failure to thrive
- Metabolic acidosis
- Minor Problems
Recommended
CrystalGraphics Presentations
