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The Case for PKD(3)

  The Case for PKD

  Patients:

  Yang Fengqiang, male, 43 years old, Han nationality, married, Hebei Province, Dingzhou City, Street West Xie backyard No. 56.

  Diagnosis:

  1. Chronic glomerular nephritis, chronic interstitial nephritis, renal damage caused by drugs, chronic renal failure (uremia failure stage), renal anemia, renal hypertension.

  2. coronary heart disease, myocardial ischemia.

  3. chronic congestive heart failure, cardiac function, heart failure II degree.

  Condition when admission:

  Dark complexion, fatigue, shortness of breath, palm color pale, nausea and vomiting, poor appetite, cold limbs, mild systemic edema. Serum creatinine 756umol/l, blood urea nitrogen 28mmol/l, hemoglobin 85g/l, blood 4.41mmol/l K, 14.2mmol/l ab. Electrocardiogram: myocardial ischemia. B Ultrasound shows: the left kidney kidney 7.8 * 4.0cm, right kidney 7.3 * 3.7cm. Double kidney ect shows: double kidney contour display is not clear, double kidney shadow narrow, double kidney blood perfusion to reduce, double kidney glomerular filtration nearly no function, double kidney narrow, double upper urinary tract drainage unobstructed.

  Condition after admission:

  Patient complexion is ruddy luster, the body has difficulty, no chest tightness, shortness of breath, turn red palm color, no nausea and vomiting, increased appetite, hands and feet warming, the body without edema, blood creatinine 619.0umol/l.

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