why in patient who got glomerulonephritis still suffer from oliguria although they drinks fluid well?

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  (+ info)

Can you answer this Pathophysiology questions?

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1. Cause of hypovolemic shock include all of the following except:
a. dehydration
b. blood loss
c. brainstem injury
d. diuresis

2. Clinical Manifestations of hypovolemic shock include all of the following except:
a. pulmonary edema
b. tachycardia
c. hypotension
d. oliguria
1.c. brainstem injury - there is no hypovolemia (decreased blood volume) in brainstem injury

2. a. pulmonary edema (occurs in hypervolemia - volume overload)  (+ info)

if a woman is pregnant and have preeclampsia symptom, Why the Dr take so long for the emergency delivery?

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this patient have every single symptoms of preeclampsia and is even diabetic since a childhood.So b/p 190/130, edema every where, proteinuria,oliguria,compromised renal function...
They try to keep the woman pregnant as long as possible.
I had pre-eclampsia and they were going to go ahead and let me have my son at 33 weeks which his lungs were not delevoped when the amnio came back but i ended up having him at 35 weeks which he was born fine and healthy.
Giving birth is the only cure for Pre-eclampsia.
It can be treated with blood pressure pills.  (+ info)

A 68y.o. male complaining of dyspnea and arrythmia,what are the differential diagnosis and cause of death?

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history of RHD,CHF,CAD,cardiomegaly,hepatomegaly,smoker-100 pack years but discontinued 10 years prior to admission,alcoholic beverage drinker-12 cans of beer daily,atrial fibrillation,pleural effusion,pulmonary edema,mitral valve prosthesis,coronary bypass,complete RBBB,oliguria,hypotension and patiet eventually expired 3 days post thoracotomy.
By what information you have given me my 1st guess would be cardiogenic shock. But you don't say why the thoracotomy was preformed. Was it for heart, heart valves, lung, thorasic aorta, esphageal or spine surgery. You also don't say wether this patient had a cardiac or pulmonary arrest or if both which occured 1st. I chose cardiogenic shock 1st due to all the already existing cardiac issues and additional symptoms. Was the CHF ( which pulmonary edema is a symptom) caused by the cardiomegaly , the A-fib, the MV prosthesis or a combination of some or all. You also mentioned a previous CABG, but you didn't mention any myocardial injury occuring. This pt. not only had mechanical issues but also had electrical problems as demonstrated by the A-fib and the RBBB. The pulmonary involvement sounds more like it's due to all the cardiac problems. You mentioned hypotention but not whether it was due to medication or if it was a symptom of the cardiomegaly. You mentioned oliguria but nothing of CRF or even ARF post surgery. So was this a new onset? You give no lab values that could indicate organ functions. Sooooooooo. I still stand with cardiogenic shock as my 1st choice (chosen from all the cardiac envolvement and the possibility that he could have thrown a clot [a-fib, PMV and had to be taken off thinners for the surgery] and had an MI. The symptoms of hypotention & oliguria occur in cardiogenic shock). My 2nd choice would be a CVA ( due to the A-fib the PMV and the fact he had to be off anticoagulants for the thoracotomy. 3rd and lastly alcohol withdrawal (just kidding! Really I was just kidding!)  (+ info)

A 68y.o. male complaining of dyspnea and arrythmia,what are the possible diagnosis?

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history of rheumatic fever in childhood,signs of congestive heart failure,coronary and cicumflex artery stenosis,hepatomagaly and splenomegaly,grade 3 holosystolic murmur,grade 3 rumbling diastolic murmur,all 4 heart chambers enlarged,smoker-100 pack years but discontinued 10 years prior to admission,alcoholic beverage drinker-12 cans of beer daily,atrial fibrillation,pleural effusion and interstitial pulmonary edema,a filling defect at the bifurcation of the left main coronary artery,complete right bundle branch block,oliguria,hypotention,patient eventually expired
Sounds like "Holiday Heart Syndrome" to me.

It's a classic medical school scenario. See the attached links.

BTW, the guy has multiple diagnoses (CHF, Afib, ARF, Alcohol abuse and probably alcoholic cirrosis, CAD, portal hypertension due to the cirrosis, etc) and you basically list all of them in the description, but the one you seem to be looking for is the Holiday Heart.  (+ info)

A medical Anwser needed?

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Manifestations of increased left atrial and pulmonary venous pressures in left ( congetive) heart failure include:
A. syncope
B. weak pulses and decresed skin temperature
C. oliguria
D. dyspnea and cough
D. dyspnea and cough - due to pulmonary congestion.  (+ info)

Urine Questions?

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1) Analysis of a urine sample reveals the presence of plasma protein, a condition called:

Dysuria, Albuminuria, Pyuria, Hematuria, Uremia?

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2) Molecules secreted into urine as it is being formed in the nephron include which of the following?

Water, Nitrogen Containing Waste, Salts, Hydrogen Ions, All of the Above?

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3) A sudden fall in urine volume is:

Uremia, Dysuria, Oliguria, Anuria, Pyuria?

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4) Visualization of the urinary system via contrast dyes and X-ray examination is the test called:

Intravenous Pyelogram, GFR, Hydrolithotripsy, Cystoscopic Examination, Creatinine Clearance?

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5) Which of the following signs and symptoms indicate the need for examination by a physician?

Dysuria, Blood or Pus in Urine, Edema, Both Dysuria & Blood/Pus in Urine, All of the Above
1.) Albuminuria

Albumin is a protein that is in your plasma
It's not Dysuria (thirsty), Pyuria (pus in the urine), Hematuria (blood in the urine)

2.) All of the Above

I included a link at the bottom of this that talks about what the kidneys filter. All of those are mentioned there :)

3.) Oliguria

Uremia means high wastes in the blood, it's what happens when someone's kidneys fail
Dysuria, again is thirst
Anuria is no urine output at all
pyuria, again is puss in the urine

4.) Intravenous Pyelogram
I actually just saw one of these done 3 days ago

5.) All of the Above,

Being thirsty all the time can be a sign of diabetes, blood or pus in the urine is always a concern , maybe an infectino, edma can mean the body is retaining water. That's why I picked all of the above.

Hope that helps :)  (+ info)

A 68y.o. male complaining of dyspnea and arrythmia,what are the differential diagnosis and cause of death?

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history of RHD,CHF,CAD,cardiomegaly,hepatomegaly,smoker-100 pack years but discontinued 10 years prior to admission,alcoholic beverage drinker-12 cans of beer daily,atrial fibrillation,pleural effusion,pulmonary edema,mitral valve prosthesis,coronary bypass,complete RBBB,oliguria,hypotension and patiet eventually expired 3 days post thoracotomy.
ur Question is it self ur answer,,,  (+ info)

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