2015年1月27日星期二

Diabetic nephropathy

Today and I see a successful medical diabetes2, please read on.

Name: MOHAMED SALEH

Sex: male

Age: 46

Country: paksitan

Why go to China?

This is a patient of Pakistan is MANSOOR name is a man, 46 years old, is already married. The main cause of polyuria, polydipsia food for 18 years, elevated serum creatinine three years, dialysis for two months, 25/10/2013 19:00 first entering our hospital. Measuring blood pressure at entry 140 / 90mmHg, pitting edema soft bottom extremities media, urine approximately 300ml / 24h.Electrolito: 5.19mmol / L potassium; six renal creatinine 1011umol / L, 19.0mmol / l urea nitrogen; Urine: glucose 2 +, 2 + protein + occult blood; glycosylated hemoglobin 6.25%; PTH10.2pg / ml.La renal ultrasound showed: less clear renal contour, membrane must finish kidney size of about 80 × 39 × 38 mm, the size of the left kidney 83 × 41 × 37 mm, improves renal parenchymal echo, less clear boundaries corticomedullary system, fuzzy collection. CDFI: renal blood flow is reduced. Ophthalmoscope shows: diabetic retinopathy lesions. Diagnosis: Diabetes type 2, V diabetic nephropathy, diabetic retinopathy pathological changes, renovascular hypertension, renal anemia. Give a dollar, to correct anemia, control blood sugar and enema oral herbal to help detoxification, herbal kidney area with hot water bag feet suddenly decoction juice bath based therapy topical herbs. The stable blood pressure after treatment, review of pre-dialysis renal Six: creatinine 745umol / L, 24-hour urinary 1.80g / 24h proteins, endogenous 1.94ml / min creatinine clearance, urine dialysis days can reach 1000ml / 24h .

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