Case: Left Renal Calculus (Renal Stones)

H/O left pyelolithiasis 17 year

H/O Right Nephrectomy 14 year with Tubular Pyonephrosis

B.P 140/85

USG :

shows Mild dilatation of all Calyces of Left Kidney with 1.1 cm echogenic shadow -> Lower calyx.

Liver, Gallbladder, Bile ducts, Spleen and Urinary Bladder are normal .

Right Kidney is absent .

Case 1 :Mild Hydronephrosis with Proximal hydroureter

Dengue fever and its prevention

Breakbone fever mosquito borne tropical disease ''Dengue Virus''

Symptoms :-

Febrile phase

• Sudden onset fever
• headache
• mouth and nose bleeding
• muscle and joint pains
• Vomiting
• rash
• diarrhea

Critical phase

• Hypotension
• pleural effusion
• ascites
• GI bleeding 

Recovery phase

• Altered level of consciousness
• seizures
• itching
• slow heart rate

Common symptoms :

1.Fever
2.Headache
3.Muscular and joint pain
4.Skin rash similar to measles

In small portion of cases :
Dengue hemorrhage fever resulting bleeding, low level of platelets

Rx:

Acute Condition: Supportive (paracetamol)  and Oral or IV rehydration

• Do not prescribe Aspirin , Ibuprofen and Antibiotics ( Contraindicated) 

For Severe Cases: IV fluids and blood transfusion

Prevention: No vaccine but get rid if open source of water.