#MedicalCase

Diabetic Patient with Fever and Abdominal Distention.

Dr. Gajraj Singh., BHMS

Dr. Nadeem Abootty
Diabetologist

Hi Dr Rawat
From the details provided by you ,for me itseems this patient is suffering from pyelonephritis with impending urosepsis.
It's better to admit and start on IV antibiotics and avoid nephrotoxic medications.
If on OHA better convert to Insulin for time being.
monitor I/O, creatinine, ABG and electrolytes.
better do an urine acetone to rule out DKA.
thrombocytopenia may be due to sepsis or even the splenomegaly shown in USG may be of chronic ITP in background.

Dr. Zulfiqar Ahmed
Diabetologist

Hi.
I think patient with findings of bilateral pyelonephritis needs insulin and to keep sugars appropriately controlled. Needs intravenous antibodies after cultures are taken.
Also needs optimal hydration also.
Thanks

Dr. Zulfiqar Ahmed
Diabetologist

Hi.
I think patient with findings of bilateral pyelonephritis needs insulin and to keep sugars appropriately controlled. Needs intravenous antibodies after cultures are taken.
Also needs optimal hydration also.
Thanks

Dr. Sathis Kumar. S
General Medicine Physician

Hi
pt has got b/l pyelonephritis.
better start with higher antibiotics at the earliest, after sending culture s.
do echo. asses fluid status and hydrate.
check sugar frequently and give insulin accordingly.
check CBC and RFT daily till the pt settles.

Dr. Gajraj Singh
Homeopathic Physician

Thanks everyone to helping me
now patient have good prognosis