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    RTRH Med Abstract

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    sunako nakahara
    This medical abstract summarizes the case of 16-year-old Mark Contillo who was admitted to the hospital with abdominal pain. He had a history of chicken pox and bilateral leg swelling and pain. His symptoms progressed to include vomiting blood, fever, and diarrhea. Diagnostics revealed bilateral renal parenchymal disease and elevated ASO levels. He was treated with antibiotics and diuretics but did not improve, so he was referred for further management. His working diagnoses included acute kidney injury, renal parenchymal disease, post-streptococcal glomerulonephritis, and leptospirosis. The purpose of this abstract is to request financial assistance for his care.

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    RTRH Med Abstract

    Uploaded by

    sunako nakahara
    21 views2 pages
    This medical abstract summarizes the case of 16-year-old Mark Contillo who was admitted to the hospital with abdominal pain. He had a history of chicken pox and bilateral leg swelling and pain. His symptoms progressed to include vomiting blood, fever, and diarrhea. Diagnostics revealed bilateral renal parenchymal disease and elevated ASO levels. He was treated with antibiotics and diuretics but did not improve, so he was referred for further management. His working diagnoses included acute kidney injury, renal parenchymal disease, post-streptococcal glomerulonephritis, and leptospirosis. The purpose of this abstract is to request financial assistance for his care.

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    Rtrh Med Abstract

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    This medical abstract summarizes the case of 16-year-old Mark Contillo who was admitted to the hospital with abdominal pain. He had a history of chicken pox and bilateral leg swelling and pain. His symptoms progressed to include vomiting blood, fever, and diarrhea. Diagnostics revealed bilateral renal parenchymal disease and elevated ASO levels. He was treated with antibiotics and diuretics but did not improve, so he was referred for further management. His working diagnoses included acute kidney injury, renal parenchymal disease, post-streptococcal glomerulonephritis, and leptospirosis. The purpose of this abstract is to request financial assistance for his care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    21 views2 pages

    RTRH Med Abstract

    Uploaded by

    sunako nakahara
    This medical abstract summarizes the case of 16-year-old Mark Contillo who was admitted to the hospital with abdominal pain. He had a history of chicken pox and bilateral leg swelling and pain. His symptoms progressed to include vomiting blood, fever, and diarrhea. Diagnostics revealed bilateral renal parenchymal disease and elevated ASO levels. He was treated with antibiotics and diuretics but did not improve, so he was referred for further management. His working diagnoses included acute kidney injury, renal parenchymal disease, post-streptococcal glomerulonephritis, and leptospirosis. The purpose of this abstract is to request financial assistance for his care.

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    of 2

    REMEDIOS TRINIDAD ROMUALDEZ HOSPITAL

    Calanipawan Road, Tacloban City


    MEDICAL ABSTRACT
    MARCH 1, 2023

    General Data This is a case of CONTILLO, MARK YIAN BABATIO, 16 years old, Male, Single,
    Roman Catholic, Filipino, from Brgy. 96 Calanipawan, Tacloban City, Leyte, was
    admitted at our center last February 20, 2023 at 8:38 PM.

    Chief Complaint Abdominal Pain

    History 3 weeks prior to admission, patient had onset of Chicken pox and fever Tmax 38⁰C
    resolved by Paracetamol 500mg/tab and rest. No consult done.
    2 weeks prior to admission, patient experienced knee pain, bilaterally, bipedal
    edema grade 2+ on ankle area, red skin lesions on both legs and body malaise. No
    medications taken. In the interim, persistence of symptoms was noted and patient
    has difficulty in doing activities of daily living without support. Still no medications.
    Consult done at Tacloban City Hospital. Diagnostics were requested and results
    were unremarkable.
    3 days after the said consult, onset of generalized abdominal pain with a pain rate
    scale of 10/10 associated with vomiting postprandial with blood 3x, fever,
    headache and 3 episodes of loose watery bowel movements.
    1 week prior to admission, worsening of abdominal pain still with a pain rating
    scale of 10/10. Unable to sit, stand and walk due to weakness and pain. This
    prompted admission at Tacloban City Hospital. Upon admission, diagnostics were
    requested. Ultrasound revealed bilateral renal parenchymal disease and ASO
    576.94 H. He was given Ampicillin and Sulbactam, Furosemide, Captopril, and
    Hyoscine. No improvement of patient prompted referral to RTRH for further
    management.

    Diagnostics 1. CBC with platelet


    2. Na, K, Cl
    3. Urinalysis with dysmorphic RBCs
    4. BUN
    5. Creatinine
    6. TPAG
    7. C3
    8. ASO
    9. ABG
    10. Ionized Calcium
    11. Blood Culture
    12. Leptomat
    13. Chest Xray PAL
    14. Whole Abdomen Ultrasound
    15. Total Bilirubin, Indirect Bilirubin, Direct Bilirubin
    16. SGPT
    17. SGOT
    18. Protime with INR
    19. APTT
    20. Urine Culture and Sensitivity
    21. KatoKatz

    Medications 1. Co-Amoxiclav 625mg/tab, 1 tab BID x 3 days


    2. Furosemide 40mg IVTT q6h
    3. Cefotaxime 1g IVTT q8h
    4. Sodium Bicarbonate 50meqs + equal diluent D5W q8h
    5. Multivitamins + ADE 1 cap OD
    6. UDCA 500mg/tab
    7. Spironolactone 100mg/tab
    8. Nifedipine 30mg/cap 1 cap q8h
    9. Sodium Bicarbonate 650mg/tab BID
    10. Tranexamic Acid 500mg/cap 1 cap q8h
    11. Amikacin 250mg IVTT q12h
    12. Metolazone 5mg/tab 1 tab BID x 5 days

    Working Diagnosis: Acute Kidney Injury; Renal Parenchymal Disease I; Post-Streptococcal Acute
    Glumerulonephritis; T/C Leptospirosis; Late Adolescent; No wasting, No
    stunting

    Purpose Financial Assistance

    Prepared by:

    Dr. Edna Ayaso / Christen Jene A. Corillo, M.D.


    Attending Physician Resident Physician
    License No. 0068561 License No. 0162495
    PTR No.: 1442333 PTR No. 7221953

    This Medical Abstract is not for medico-legal purposes.

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