MARC details
000 -LEADER |
fixed length control field |
02494nam a22002537a 4500 |
003 - CONTROL NUMBER IDENTIFIER |
control field |
CH20160004 |
005 - DATE AND TIME OF LATEST TRANSACTION |
control field |
20240720152920.0 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
170804b xxu||||| |||| 00| 0 eng d |
040 ## - CATALOGING SOURCE |
Transcribing agency |
FEU-NRMF MEDICAL LIBRARY |
041 ## - LANGUAGE CODE |
Language code of text/sound track or separate title |
English |
050 ## - LIBRARY OF CONGRESS CALL NUMBER |
Classification number |
CH20160004 |
100 ## - MAIN ENTRY--PERSONAL NAME |
Personal name |
Angeles, Leo Paulo D., MD |
Relator term |
author |
245 ## - TITLE STATEMENT |
Title |
"SRH: it's not that simple!" |
Remainder of title |
a case report of a 16-year old with henoch schonlein purpura (HSP) who developed spontaneous renal hematoma (SRH) / |
Statement of responsibility, etc. |
Leo Paulo D. Angeles. |
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT) |
Place of publication, distribution, etc. |
Fairview, Quezon City |
Name of publisher, distributor, etc. |
Department of Child Health, FEU-NRMF, |
Date of publication, distribution, etc. |
2016 |
300 ## - PHYSICAL DESCRIPTION |
Extent |
24 pages: |
Other physical details |
illustrations and photos; |
Dimensions |
(in folder) |
336 ## - CONTENT TYPE |
Content type term |
text |
Source |
rdacontent |
337 ## - MEDIA TYPE |
Media type term |
unmediated |
Source |
rdamedia |
338 ## - CARRIER TYPE |
Carrier type term |
volume |
Source |
rdacarrier |
504 ## - BIBLIOGRAPHY, ETC. NOTE |
Bibliography, etc |
Includes appendices and bibliographical references. |
520 ## - SUMMARY, ETC. |
Summary, etc. |
ABSTRACT: The discussion o f the case highlights a 16-year old male who was brought in with a chief complaint of intermittent abdominal pain for 3 weeks associated with persistent purpuric rashes and bilateral joint pains. Henoch Schonlein Purpura (HSP) is not very common with the patient's age; hence, other diseases were entertained such as Systematic Lupus Erythematosus (SLE). In cases of patients having HSP or SLE, spontaneous renal hematoma (SRH) is a rare event. Locally, there are several causes of SRH, hence, several work-ups were done to help narrowing down its cause. Complete blood count showed leukocytosis with neutrophilic predominance, anemia and thrombocytosis. Urinalysis showed presence of pyuria, hematuria and proteinuria.Whole abdominal Ultrasound revealed presence of right renal hematoma and minimal ascites. Abdominal X-ray revealed segmental ileus and fecalimpaction. Renal Doppler Ultrasound was normal. Whole abdominal CT-scan revealed renal and perirenal hemorrhage.C-reactive protein and ESR were elevated. Serum electrolytes showed hyponatremia. ANA, C3 and fecal occult blood test (FOBT) were normal. BUN, Creatinine and Urine total protein/creatinine ratio were elevated. TPAG showed protein spillage. Chest x-ray revealed presence of Pneumonia. Hence, the diagnosis of Nephrotic-Nephritic Sydrome secondary to Henoch Schonelin Purpura (HSP); Subcapsular and Perirenal Hematoma, right; Pneumonia was made. The approach to the case was multidisciplinary, involving the pediatric nephrologist, cardiologist and haematologist, urologist and rheumatologist. |
521 ## - TARGET AUDIENCE NOTE |
Target audience note |
Research - Department of Child Health |
887 ## - NON-MARC INFORMATION FIELD |
Source of data |
RC-RC-0002-16 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Source of classification or shelving scheme |
Library of Congress Classification |
Koha item type |
Research |