2020-2022 TITLE : Factors influencing clinical decision making around therapeutic interventions for critically ill renal failure patients in a rural medical college NEED FOR STUDY : Renal failure is increasingly recognized as a global public health problem. The clinical decision to continue conservative medical management vs dialysis in a patient with acute on chronic renal failure (particularly in low resource settings), is dependent on factors that have not be characterized well in the global literature although there are absolute and relative indications for dialysis, there are many clinical grey areas around them. Aim: To study various events related to and influencing treatment decisions around patients with critically ill renal failure Objectives : 1) Document the events and symptoms leading to the patient presenting with renal failure 2) Study the associations between the events and certain symptoms influencing the therapeutic decision taken 3) Doc...
1 ) My presentations during my MD : https://kattamanasa.blogspot.com/2022/08/my-presentation-aug-2020-aug-2022.html https://kattamanasa.blogspot.com/2022/08/my-presentations-aug-2020-to-aug-2022.html 2) Clinical procedures : https://kattamanasa.blogspot.com/2022/08/clinical-competency-in-icu.html Placed Central line : Lumbar Puncture : Pleural tapping Placed Central line : Pleural Tap : Placed Central line 3) Poster presentation : 4 ) Paper presentation: https://kattamanasa.blogspot.com/2022/10/paper-presentation-in-tsapicon-2022.html1 5) Thesis https://kattamanasa.blogspot.com/2022/04/manasa-dissertation.html 6) Publication Certificate:
Case 1: https://tejasree25.blogspot.com/2022/04/nephrotic-syndrome-with-type-i-dm.html This is a case of 22 year young married female with DM 1 since 11 years and Hypertension since 6 months 1st presentation : April 2022 Presenting complaints of B/L pedal edema since 1 months •Shortness of breath (grade 2-3 ) since 1 months,which is insidious on onset gradually progressive not associated with orthopnea /PND •Decreased urine output since 10 days •Swelling of lips since 3 days On examination Anasarca +, Pallor + Her baseline creatinine at time of admission was 4.7 , urea 82, serum albumin :2.8 , hb:7.8, Chest xray showing b/L moderate pleural effusion 2D echo : EF :60, good LV systolic function With severe metabolic acidosis ( anion gap :21 at admission , 8.2 at time of discharge ) Microvascular complications of diabeties + in this patient such as albuminuria, diabetic retinopathy changes 24 hours urinary prot...
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