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Abraham S.M.,Yenepoya Medical College Hospital
Journal of the Indian Medical Association | Year: 2011

Incidence of thrombocytopenia with drugs other than heparin, coumarin anticoagulants, anticancer drugs is less than 1%. A rare case of diclofenac induced thrombocytopenia in a 60-year-old lady is presented here. With stopping diclofenac and infusing fresh blood along with platelet concentrate made the patient revived and follow-up after one month showed her in good health.

Shivashankara V.U.,Yenepoya Medical College Hospital | Shivalli S.,Yenepoya Medical College Hospital | Santhosh Pai B.H.,Yenepoya Medical College Hospital | Acharya K.D.,Yenepoya Medical College Hospital | And 4 more authors.
Journal of Clinical and Diagnostic Research | Year: 2016

Introduction: The sonographic findings are of help in evaluating the nephrological diseases. Glomerular filtration rate is another parameter for assessing the reserved renal function and an indicator of prognosis. In clinical practice GFR estimation (eGFR) is done by using a mathematical formula. In our study, we compared the sonographic grading of renal parenchymal changes with eGFR calculated using Modified Diet in Renal Diseases formula based on serum creatinine, age, gender and ethnicity. Aim: To evaluate the relevance of sonographic grading of renal parenchymal changes in assessing the severity of the renal disease and comparing it to the eGFR calculated using MDRD formula based on the age, gender and serum creatinine value of the patient. Materials and Methods: The adult patients with suspected kidney disease referred for sonography of abdomen were our study participants. As per our study design following strict inclusion and exclusion criteria, patients were selected as study participants and for each of the patient’s renal parenchymal status, serum creatinine, age, gender and ethnicity were documented. results: A total of 70 patients were our study participants, out of which 67.1% were males and 32.9% were females. Our study showed a linear correlation between sonographic grading of renal parenchymal changes with eGFR. conclusion: We conclude that by evaluating the kidneys with sonography and calculating eGFR using MDRD formula the renal status will be more accurately interpreted. © 2016, Journal of Clinical and Diagnostic Research. All rights reserved.

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