January clinical meet
A case of 18/F with metabolic acidosis and hypokalemia http://akshithakasani81.blogspot.com/2021/09/general-medicine-case-discussions_21.html Timeline of events and brief discussion of pathophysiology around it detailed below. Slide 1-3, illustrate the timeline of events She had symptoms of urinary urgency, frequency, stress incontinence , and was diagnosed as GUTB by biopsy Slide 2: IV pyelography or IV urography which shows no enhancement on the right side suggesting a non functioning kidney on the right. Bladder:contracted also called thimble bladder , TB frequently involves the GUT(genito urinary tract)-2nd most extra pulmonary involvement Kidney>bladder>fallopian tube>scrotum ATT regimen is same as for newly detected sputum positive -6months(2+4) Slide 4: 3 ABG's at three different scenarios in her Dec'20: 1 month post surgery followup April:1st presentation with quadriparesis thought to be GB , corrected with potassium replacement Sep'21:las...