Mohamed Alsaid Abdellatif Ministry Of Health, Egypt
Title: Preventive Nephrology
Dr.Mohamed Alsaid Abdellatif is a Senior Specialist of nephrology in the Ministry of Health situated in Damietta .
â€¢ 27 year-old female â€¢ Primi gravida. â€¢ Delivered by C.S-spinal anasethia> full term baby â€¢ 10 hours later, the patient returned to home, she complained from headache. â€¢ The obstetrician ordered to give fluids
Day 1 â€¢ Severe Headache, malaise, lethargy and dizziness. â€¢ The family called the physician . â€¢ No bleeding â€¢ Fluids, analgesics, assurance
Day 2 â€¢ The patient became dyspneic . â€¢ The obstetrician asked the family to consult chest physician. The chest physician ordered CBC which revealed leukocytosis and HB 9 g/dl. â€¢ Blood pressure : 100/70 mmHg ---- â€¢ He called the obstetrician and started broad spectrum antibiotic
Day 3 â€¢ The patient became feverish â€¢ The obstetrician accompanied the patient to the emergency hospital . â€¢ They spent 10 hours in the hospital . â€¢ CBC revealed leukocytosis.us revealed small collection 5*5 â€¢ 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 â€¦..90/60 mmhg Creatinine 5 mg/dl K 6.5 m.mol/l PH 7.1 HCO3 15â€¦. Nephrology consultation.