Iga Nephropathy Case Summary

As mentioned, the patient’s name is Joshua John Laurane. He is an African American male of 69 years with a past medical history of diabetes (Type II), hypertension, congestive heart failure, and high cholesterol. He first presented with these underlying

On June 22nd, I visited Dr Bennetts’ office and he ordered a blood test. Based on the blood test results, he ordered additional blood tests and a liver biopsy. The Dr Bennets’s assistant recommend me that the blood test should be done at any Providence Lab because my insurance coverage.

A was admitted to the Medical Telemetry Unit of the hospital secondary to possible myocardial infarction and syncope. During the course of hospitalization, he received IV labetalol for his blood pressure and was placed on subcutaneous insulin sliding scale for his diabetes. Pharmacological stress test revealed left ventricle was dilated with reduced systolic function and global hypokinesis. These findings are consistent with non-ischemic cardiomyopathy. Echo was obtained and showed decreased EF of 30%, an elevated central venous pressure of 15 mmHg and an elevated pulmonary artery pressure of 78 mmHg. Due to his end stage renal disease, Nephrology was consulted and recommended to continue his dialysis three times per week as scheduled. He was discharged after there were no further episodes of syncope and has been asymptomatic. Atenolol and Clonidine were prescribed, as these are the only medications he will be able to get at a reasonable

The patient is an 87-year-old female who was recently hospitalized here at St. Joseph's Medical Center and discharge to rehabilitation spent approximately 3 weeks in the rehabs setting and was home for a day before she represented to the emergency room complaining of inability to move, profound weakness, right hip pain and right thigh swelling, as well as bilateral leg edema. The patient's medical history is significant for afib, coronary disease, congestive heart for diabetes mellitus, GERD, thyroid disease, sick sinus syndrome with permanent pacemaker. She has undergone CABG, nausea, profound vascular disease, anemia, severe gastroparesis, as well as having had polio, she presents with profound weakness and she is essentially bedbound.

This patient is a 73-year-old female who required inpatient hospitalization due to end stage renal disease secondary to persistent bacteremia and other underlying conditions. She was admitted to Truman Medical Hospital for further treatment and evaluation due to complaints of severe bilateral flank pain for three days that worsened with movement. She also reported shortness of breath and had been constipated for 3-4 days.

He presented with chest pain and was admitted as a case of unstable angina. A nuclear stress test was done and showed small antero-septal ischemia and Moderate inferior wall ischemia. LHC done showed 90% ostium stenosis of the Left main artery, Coronary artery bypass graft was done with a left side drain in place. He was transferred to the Coronary care unit. 24hrs after surgery patient initially had tachycardia in 120s as well as shortness of breath and then started to complain of decreased vision which progressed to only

At that time, his hemoglobin was 11.6. Most recently his hemoglobin has dropped to approximately 9 grams. He is on oral iron. This patient also had a colonoscopy in 09/2014 noting diverticulosis. He also reports to me having had a normal endoscopy at UNC Chapel Hill at or near the time of his cardiac valve replacement, although that information is not

The patient was not seeking medical help for many years. She started to follow the physicians for the last few years. She had some CKD that is progressing to stage 5 recently. Her kidney disease is attributed to longstanding insulin dependent diabetes mellitus. She has never had a kidney biopsy done. Her last creatinine is 3.8 with an estimated GFR of 13. She had 4.5 proteinuria in July 2015. She is still not on dialysis yet. She will be starting peritoneal dialysis when it is medically indicated. She has not been evaluated for kidney or pancreas transplant in the past.

The patient is 33-year-old gentleman who comes in complaining of dialysis shunt problem. The patient has a AV graft in the left biceps. He had bleeding at this site is. He is normally dialyzed Mondays, Wednesdays and Fridays and he receives full dialysis session and postdialysis bleeding was noted to come thru the bandage and he was therefore sent to the ED. In the ED figure-of-eight suture was used to control the bleeding. The patient is admitted inpatient. His medical history is significant for end-stage renal disease. He had a seizure disorder, bipolar disorder, insulin-dependent diabetes mellitus, is legally blind, and as previoulsly stated he has t long-standing depression hypothyroidism and end-stage renal disease on dialysis.

A review of his medical record indicates that a history of ESRD, chronic immunosuppressive therapy post cardiac transplant in 1988, hypertensive kidney disease, RT AVG infection, Cad, MRSA and skin cancer. He has had multiple hospitalizations for AVG infection. His last hospital admission was 10/14/16 for left AVG infection which as removed by DR. Thai, treated for MRSA bacteremia and placement of Right AVG.

The patient is a 78-year-old female who was transferred from a local nursing home because of altered mental status transfer from care one of Wayne. On presentation initial blood pressure was 126/86 with pulse of 80, respirations of 16, and a low-grade temp of 99. Her history is significant in that she has known to have metastatic cervical carcinoma, she has a diversion colostomy, urostomy and she had chemotherapy and radiation in May of 2015. She was hospitalized previously with urinary tract infection which grew an enterococcus. She comes in now presenting again with altered mental status. She herself is complaining of weakness. Initial lab work on admission reveals her to be tachycardic. She has no white count. Her hemoglobin was

Pertinent history is significant for CHF, chronic renal disease, hypertension, and stroke. While admitted in Duke, he had an acute onset of left knee swelling which was aspirated and was positive for crystals by history.

Medical History. The patient has diabetes mellitus type 2, end stage renal disease (ESRD) on hemodialysis, anemia and iron deficiency related to ESRD, secondary hyperparathyroidism, renal osteodystrophy, glaucoma, legally blind – past right eye retinal detachment, gastroesophageal reflux disease, arthritis, dyslipidemia, obstructive sleep apnea on CPAP machine, syncope, and cataracts.

On February 4th and 5th of 2015, I provided care in the Cardiovascular Intensive Care Unit (CVICU) at Jefferson Regional Medical Center to a 77 year old white female, M. H. She came to the Emergency Room (ER) on January 26, 2015 with a chief complaint of shortness of breath and hypoxia. She has a history of chronic obstructive pulmonary disease (COPD), diabetes mellitus (DM), hypertension (HTN), congestive heart failure (CHF), and coronary artery disease (CAD). She was admitted the Medical-Surgical floor on the same day. After her initial lab workups, she was given medical diagnosis of renal failure. Renal failure is a condition in which the kidneys fail to adequately filter waste products form the blood. The two main forms are acute kidney injury and chronic kidney

For the purpose of confidentiality, the patient will be identified by the initials A. S. A.S was a 52- year old African American woman who was admitted to the hospital when she started to experience severe urinary retention and shortness of breath. She has three adult children and eight grandchildren, but recently lost her husband of 25 years to diabetes. The patient appears to be very independent because she lives alone in her home and is aware of the disease process. She has a past medical history of acute renal