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Showing posts from May, 2020

42 Year old woman with multiple health events since birth (last follow-up reports)

An Young Adult Female with Focal Segmental Glomerulosclerosis

A 21-year-old female from narketpally came with complaints of loose stools since 2 weeks, 3-4 episodes per day, associated with mucous, non-foul smelling, non-blood stained, associated with pain in the left iliac fossa, intermittent, radiating to left loin. Vomitings for 2 weeks, after food intake, nonbilious, nonprojectile, non-blood stained, history of nausea present. Symptoms didn't relieve after taking medication (levofloxacin, metronidazole) prescribed outside. H/o pedal edema and facial puffiness on and off for 4 yrs.  Past history - diagnosed focal segmental glomerulosclerosis (FSGS) 4 years back (biopsy is done), used steroids for 1 year, on tab cilnidipine 10mg+telmisartan 40 mg for hypertension, not a known case of diabetes, thyroid disorder, tuberculosis, bronchial asthma. Family history - no history of similar complaints in the family Personal history - The patient takes a mixed diet, appetite decreased for 2 weeks, bladder habits normal, loose stools for