CASE OF THE MONTH- SEPTEMBER 2023
Case Contributed by: Dr. BH Srinivas
Addl. Prof., Dept. of Pathology, JIPMER, Puducherry
Addl. Prof., Dept. of Pathology, JIPMER, Puducherry
CLINICAL HISTORY
CLINICAL COURSE: Patient underwent dialysis and was also transfused with 4 units of Packed RBCs.
- 24 Y/F presented with renal dysfunction for 10 days
- Fever and vomiting for 10 days
- History of herbal medicine intake for infertility 10 days back (medicines were consumed for a period of 10 days)
- Known case of hypothyroidism on treatment for 6 years
- Known case of PCOD
- Not a diabetic or hypertensive
- Hemoglobin – 6 g/dl
- Serum Creatinine – 10 mg/dl
- Urine microscopy – No RBCs
- Serum Bilirubin – normal
- Peripheral smear – Normocytic normochromic, Corrected Reticulocyte count – 1
CLINICAL COURSE: Patient underwent dialysis and was also transfused with 4 units of Packed RBCs.
ANSWER THE QUESTIONS:
- What is the diagnosis?
- What are the additional investigations recommended for confirming the diagnosis?