My third patient:::Clinical teaching 3

hye, i wanna share with you all about one case during Genitourinary block,whereby i used to clerk a patient. A paediatric patient.  A girl who was diagnosed to have Acute glomerulonephritis..

So, yeah, what is that? in malay, it is called "Glomerulonefritis Akut". (haha penat google apa dia lahh makna dalam bahasa melayu!!)

in simple word for our understanding, Acute glomerulonephritis is a group of disorders that cause swelling or inflammation of the internal kidney structures (specifically, the glomeruli(plural),glomerulus(singular)). for an example, Nephritic syndrome is a type of glomerulonephritis.

this diagram shows how's the internal structure of a kidney in organization.

The severity and extent of glomerular damage—focal (confined) or diffuse (widespread)—determines how the disease is manifested.
Glomerular damage can appear as subacute renal failure, progressive chronic renal failure (CRF);
 or simply a urinary abnormality such as hematuria (blood in the urine) or proteinuria (excess protein in the urine).

So, how to know the symptoms??

Common symptoms of nephritic syndrome are:
  • Swelling of the face, eye socket, legs, arms, hands, feet, abdomen, or other areas . (bengkak-bengkak)
  • Blood in the urine (urine appears dark, tea colored, or cloudy)(Kencing berdarah)
  • Decreased urine volume (little or no urine may be produced) (Air kencing yang dibuang adalah dalam kuantiti sedikit daripada biasa)
Other symptoms that may occur include:
  • Blurred vision                                   (pandangan kabur-kabur)
  • General aches and pains (joint pain, muscle aches) ( rasa sakitdibahagian sendi-sendi dan otot)
  • General ill feeling (malaise)                  (rasa tak bermaya,dan kurang aktif daripada kebiasaan)
  • Headache (sakits kepala..!!)
  • Slow, sluggish, lethargic movement       ( nak gerakkan badan pun tak larat,kalah orang berumur)
  • Cough containing mucus or pink, frothy material    (Batuk ada kahak,atau buih-buih berwarna pink)
  • Decreased alertness, drowsiness, confusion           (pening-pening sampai tak dapat fokus)
  • Patients may develop symptoms of acute kidney failure or end-stage kidney disease.
orait, if you are suspecting you have those symptoms(especially in children,very common), go quickly to have your treatment, because the aim for this treatment is to reduce the inflammation at the affected area.
apa nak di nasihatkan adalah  sebelum ginjal anda pergi tak kembali, silalah lakukan test or invetigation at the legal clinics or hospital,  nearest you~

note : i'll going back this thursday!!! yeah!!!! very energetic rite now!!!

"To study the phenomenon of disease without books is to sail an uncharted sea, while to study books without patients is not to go to sea at all. .."

~Sir William Osler