Thursday, 12 April 2012

Case Presentation


Young male presented in emergency as a referral case for complaint of :
Left leg swollen after fall 7 days back
Oligourea to anuria for 3 days
Short of breath for 1 day.

According to the attendant, Patient was mechanic by profession and had no addiction to any substance. He was leading normal life till 7 days back, when he fell while working on terrace, resulted in injury to left leg, which soon got swollen and paining.
Next day he visited doctor who got xrays done which revealed no fracture, but soft tissue swelling.
He was restricted to bed and latter on decrease developed anorexia ,decrease urine output and short of breath. He was investigated and found renal failure and hyperkalemia and reffered here.
Here we sent labs and passed Double lumen femoral and connected to dialysis.
He was in advance uremia, high anion gap met. acidosis and hyperkalemia. His CPK was high. Rhabdomyolysis was the diagnosis made.