2 min read - Acute kidney injury
A 54 years old previously well patient admitted with progressively worsening shortness of breath for 2 days duration. He had low grade fever for the same duration. There was no history of cough, wheezing or chest pain. He had facial and leg swelling. 4 days back he had taken medications from the local hospital for a back pain he developed after lifting a cupboard. What are the differential diagnoses? Like in any patient with acute SOB, respiratory and cardiac causes should be considered first. On examination he was ill, tachypnoeic and had generalized edema. There was a erythematous rash all over the body. Blood pressure was 180/100mmHg. There was no cardiomegaly or murmurs. Lungs had few basal crepirations and occasional wheezing. Abdomen was soft. In patients who are tachypnoeic, few lung signs can always be present. Correlate the degree of SOB with the lung signs. If the SOB is disproportionately severe compared to the signs, consider following differentials. Pulm