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A Case of Acute Renal Failure

arul may image

The 65 yr old male patient came with the presenting complaint of uremia and his urea and creatinine [1] levels in the blood were markedly elevated. He had been admitted in hospital for dialysis but he was discharged from hospital voluntarily due to poor economic status.

Urea-234, creatinine-4.79, urine albumin-1+

Dyspnea on walking, complete loss of appetite, prostration, pain in the all joints since 10 days.

While I was taking his case the patient asked that I give medicine only for his loss of appetite and said he would give details later. Then I asked his wife for a detailed case history.

 

Totality of symptoms

Angry easily

Dyspnoea from anger

Impatience

Aversion to answer

Angry when obliged to answer

Habit of chronic alcoholism [2]

Chilly patient

 

24/12/13

Rx : Nux vomica 200/1dose

30/12/13

Urea—115

Creatinine—1.25

Urine—albumin—1+

 

After Nux vomica 200 intense fevers continued up to 1 day. Continuous hiccough lasted for 2 days. Weakness better, no dyspnea, joint pain reduced 40%. Urine flow—comparatively more. Appetite –improved

 

10/1/14

Urea-87.5

Creatinine-1.0

Urine-albumin—trace

 

Appetite good, no dyspnea, no weakness, no joint pain. He walked to my clinic. Before that he was lifted by two people, and without that support he couldn’t stand. Without any support he came to my clinic alone to get medicine.

 

20/1/14

Urea–47.5

Creatinine—1.0

Urine –albumin—fine trace

 

He was very happy to come to my clinic and told me “You have saved my life and I am very grateful to you.”

Appetite-good

Urine out put—good

No weakness, joint pain or dyspnea.

 

BEFORE TREATMENT

  [3]

During treatment

[4]

After treatment:

[5]

[6] [7]