Status: Day 11 at Internal Medicine ward and because I got lame cases such as penile cancer, acute pancreatitis and uremic encephalopathy secondary to obstructive uropathy by a possible ovarian newgrowth, I asked our junior admitting physician on duty (JAPOD) to give me a cardiac or renal case. The one that will drive me to study. God granted my wish and gave me this 25 year old male patient with the following admitting diagnoses:
- Acute intracerebral bleed, left parieto-occipital lobe with intraventricular extension, probably secondary to hypertensive bleed
- t/c health-care acquired pneumonia with possible aspiration component
- Pulmonary tuberculosis III, Category I, intensive phase
- Chronic kidney disease stage V, on chronic hemodialysis, s/p permanent catheter insertion
- with secondary anemia, hypertensive urgency
- upper gastrointestinal bleeding, considerations 1. Stress induced mucosal injury 2. r/o bleeding peptic ulcer disease
SIYA NA!
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