PULMONARY TUBERCULOSIS WITH NEPHROTIC SYNDROME
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 41
Abstract
PRESENTATION OF CASE Forty-year-old male, coolie by occupation, residing at Chennai belonging to lower socioeconomic class presented to Department of Pulmonary medicine at Sree Balaji medical college and hospital, Chennai with complaints of swelling of both legs, abdominal distension, eye lid swelling, breathlessness, cough with expectoration and fever for 2 weeks. History of loss of appetite and significant loss of weight present. There was no history of chest pain, palpitations and syncopal attacks. Patient had past history of pulmonary tuberculosis five years back defaulted category 1 anti-tuberculosis therapy. Patient is a non- smoker, nonalcoholic, and not a tobacco chewer. No significant family history. No contact history of tuberculosis. On general examination patient was conscious and oriented. Moderately built and poorly nourished with BMI of 17. Grade 2 pitting fast pedal oedema present. Grade 2 clubbing present. His vitals were pulse 90/min, regular, normal volume, condition of vessel wall normal and no radioradial or radio-femoral delay, blood pressure of 90/70 mm/hg right upper arm sitting position, Respiratory rate was 24/min regular abdominal-thoracic type of respiration and temperature 100degree F. Head to foot examination not significant. On examination of respiratory system - upper respiratory tract was normal and lower respiratory tract on auscultation cavernous type of breath sounds was heard in right infraclavicular area with coarse crepitations. Examination of abdomen - Distended and flanks were full, umbilicus centrally placed and flushed to the surface, shifting dullness present and no palpable organo-megaly. Examination of cardiovascular system- first heart sound and second heart sound heard, no murmur heard. Examination of central nervous system no focal neurological deficit.
Authors and Affiliations
Sabarinath Ravichandar, Jhansi Lakshmi Elineni
Keywords
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- EP ID EP576077
- DOI 10.18410/jebmh/2018/598
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