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Arua Clinic
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Arua Clinic
@aruaclinic
Medicine and Medical information. Cases shared are purely for professional & student learning purposes. Cases are shared with consent.
Arua, Uganda Katılım Ağustos 2021
154 Takip Edilen2.5K Takipçiler
Arua Clinic retweetledi
Arua Clinic retweetledi

Hustle Monday!
A few broilers are still available for sale at our @Chickencoopfarm in Arua. DM or call 0784447213 to make an order.
Quote this with what you're selling.
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Arua Clinic retweetledi
Arua Clinic retweetledi

DIB, Oliguria, Odema +++ = Pulmonary Odema. Coupled with High BPs = AKI
AKI = Increase in serum creatinine by 0.3 mg/dL or more within 48 hours or. Increase in serum creatinine to 1.5 times baseline or more within the last 7 days or. Urine output less than 0.5 mL/kg/h for 6 hours
Investigations therefore;
Labs
1. RFTs (creatinine, Na+, K+, Urea)
2. Urinalysis (Urine Proteins, Glocose, Ketones, Nitrites)
3. CBC - Hb (Anemia usually in CKD)
Imagining
CXR - level of Pulm Odema, assess need for thoracocentesis
KUB scan
ECG, Echo
Brain CT
Rx
1. Centrally acting Anti-HTN hydralazine, methyldopa
2. Lasix
3. Dialysis
4. Definitively identify the cause of the AKI and Rx
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Arua Clinic retweetledi
Arua Clinic retweetledi

@aruaclinic @BrownJHM @ACCESS_UG @ChefKarim02 @drkeithsiau @rkalyes1 @PeterItebimien @Osuta_Snr @modernHealthMe HTN emergency
W.. AKI, pulmonary edema,..
ABC..approach
Esmolol given..and monitor BP every 10 to 15 mins then initiate anti HTN ... clinidipine good in htn nephropathy...
Diuretic important for edema
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@IhabFathiSulima Moon face
Central obesity
Purple abdominal striae
Diagnosis: Cushing's syndrome.
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@BazongereTonny @BrownJHM @ACCESS_UG @ChefKarim02 @drkeithsiau @rkalyes1 @PeterItebimien @Osuta_Snr @modernHealthMe Yes doctor.
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Arua Clinic retweetledi

@aruaclinic @BrownJHM @ACCESS_UG @ChefKarim02 @drkeithsiau @rkalyes1 @PeterItebimien @Osuta_Snr @modernHealthMe ?? Hypertensive emergency with AKI and?? Pulmonary edema
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Arua Clinic retweetledi
Arua Clinic retweetledi

The chicks are crowding together in clusters. This tells us that the room temperature is low.
Adequate warmth should be provided to ensure the chicks are evenly distributed in the room.
FARMER_EMMY🤠👨🌾@Farmer_emmy6676
On arrival. What do you think? #poultrytips #farmers
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Arua Clinic retweetledi

🏥 57/ M comes in with severe headache with blurred vision
👉 What is your spot diagnosis ?
@DrOribaDan
@NiravValand30
@Asadthegeek

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Arua Clinic retweetledi
Arua Clinic retweetledi
Arua Clinic retweetledi
Arua Clinic retweetledi

Hello poultry enthusiasts, here's a short thread on poultry vices, their causes and prevention.
Nice reading and please follow @Chick_haven
The Chicken Coop 🐓@Chickencoopfarm
POULTRY VICES. Poultry vices are bad/undesirable habits that may develop among birds in the farm. These habits cause losses to a farmer. Examples of poultry vices include; - Egg eating. - Cannibalism. - Pica. - Egg hiding. Let's look at them one by one. A thread 🧵
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