Creatinine

acut-off rule

HUSSAIN ALI-A Young Guy Recovers from Kidney Failure

2015-10-08 08:10

Patient: HUSSAIN ALI, Male, 20-year old, Unmarried, from Oman

Illness condition: High serum creatinine for 3 years and becomes serious in last month.

He was in hospitalization in Shijiazhuang Kidney Disease Hospital on 27th, June, 2015, 3:55 pm.

1. Test report of 6/28/2015: serum creatinine level is 879umol/L

Test report of 6/28/2015: serum creatinine level is 879umol/L

2. Test report on 7/2/2015: serum creatinine level is 932 umol/L

Test report on 7/2/2015: serum creatinine level is 932 umol/L

3. Test report on 7/7/2015: serum creatinine level is 826umol/L

Test report on 7/7/2015: serum creatinine level is 826umol/L

4. Test report on 7/12/2015:serum creatinine is 479 umol/L.

Test report on 7/12/2015:serum creatinine is 479 umol/L.

Diagnosis and Our treatment

Symptoms: High creatinine level remains for 3 years and elevates in last month.

Test in local hospital in 2012:

· Urinalysis: protein ++, occult blood –

· Serum creatinine: 500umol/L

· Ultrasound of kidney: both kidneys are smaller than normal range

Test result in May, 2015:

· RBC: 3.26×1012/L

· Hemogloblin: 70g/L

· Serum creatinine: 1200umol/L

· Blood urea:500umol/L。

End stage of chronic glomeruloneohritis, renal anemia and secondary hyperuricemia.

Test result when he was addmitted in Shijiazhuang Kidney Disease Hospital:

· RBC: 4.04×1012/L

· Hemoglobin: 107g/L

· Urinalysis:protein +, occult blood -,

· Microscopic examination: leukocyte 20-30/HPF

· Electrolyte:leukocyte 93.4mmol/L, calcium 1.79mmol/L, total carbon dioxide 14.2mmol/L, potassium 4.22mmol/L

· Seven readings of kidney function:BUN 43mmol/L, serum creatinine 879umol/L, uric acid 483umol/L

· Blood coagulation:D-Dimer 16.15mg/L FEU, fibrinogen 3.34g/L, PTH 1463pg/ml

· Iron metabolism:TIBC (Total Iron Binding Capacity ) 39.3umol/L,ferritin 251.7ug/L、erythrocyte sedimentation rate (ESR) 50mm/h

·Urine protein components:24-hour urine protein 239mg/L, microalbuminuria 120mg/L、microalbuminuria/urine creatinine 198mg/g cr,TRF 5.9mg/L, TRU G 21.9mg/L, urinary α1 -microglobulin 64.5mg/L, rinary α1 -microglobulin/urine creatinine 106.29mg/g cr,urinaryβ2 microglobulin23.9mg/L,RBP 16.96mg/L, NAG/creatinine 24.72U/g cr,NGAL 419ng/ml

· Immunity: immunoglobulin M0.21g/L,complementC1q108mg/L, complementC3 0.83g/L24-hour urinary protein quantity0.44g,Ccr6.74ml/min

· Abdominal ultrasonography:right kidney is 70×37×33mm,left kidney is71×40×31mm,thick ,bilateral renal parenchymal echo enhancement, diffuse damage

· CDFI:reduced blood flow signals on bilateral kidneys

Diagnosis: Bilateral diffuse renal damage, both kidneys shrink.

Added diagnosis: metabolic acidosis, secondary hyperparathyroidism

Treatment

· For acidosis: 100ml 5% Sodium Bicarbonate injection a drip each day;

Sodium Bicarbonate Tablets 1.03/day

· Adjust calcium-phosphorus metabolism: Calcium Carbonate Chewable Tablets 1.25 3/day

· For Anemia: Folic Acid Tablets 5mg1/day, Iron sucrose Injection 100mg 2/week, Recombinant Human Erythropoietin Injection 3000IU 2/week

· Reduce urea: Febuxostat Tablets 40mg 1/two days

· Necessary amino acid supplement: Compound keto acid Tablets 1.89 3/day

Traditional Chinese Medicine Treatment

· Danshen Chuanxiongqin injection 10 ml for a drip/day to improve mirco blood circulation

· Shenshuanning Tablets 1.08 3/day

· Micro-Chinese Medicine Osmotherapy

· Foot Bath

· Oral Chinese medicine to reduce blood clots and remove toxins

· Hemodialysis with catheterization on right femoral vein

Duration of hospitalization is 18 days, a short time due to finiancial issue.

Time of addimission of hospital: 6/27/2015, 3:55 pm

Time of discharge from hospital: 7/15/2015, 8:00 am

Hope you can get better like him. Any questions, add me on Whatsapp 008615512139310.

Director of International Department:Dr.John

Date:10/4/2015

As for you own illness conditions, you can get some guidance related to diet, exercise, medicines or some natural remedies. The online consultation service is free. Please remember to leave your email address, or phone number so that we can contact you and help you!
Please leave the patient's FULL name in case of a duplicate, and to make our doctor give timely response and help.

Full Name:

Country:

Email:

Skype:

Whatsapp:

Viber:

Phone Number:

Message:

Kidney Disease

Why do Foreign Patients Choose Shijiazhuang Kidney Disease Hospital?
Why do Foreign Patients Choose Shijiazhuang Kidney Disease Hospital?

I have kidney disease, and want to come to Shijiazhuang Kidney Disease Hospital.

Kidney Disease Treatments

Patients Story

Drinking These Kinds of Porridge Is Good for Your Kidney.

Drinking These Kinds of Porridge Is Good for Your Kidney....Learn More

Contact Us

whatsapp or viber

whatsapp or viber 8615512139310

Latest Articles