Bi weekly test.
BIWEEKLY ASSESSMENT 1) What is your complete anatomic and etiologic diagnosis from the data available in the patient's online record linked above? (ignore the provisional diagnosis on admission mentioned in the case report) In the context of patient symptoms(pedal edema & SOB& facial puffiness) anatomical diagnosis would be ? Kidney(albuminuria,microscopic hematuria) ?heart(pedal edema) ? Liver(no significant features suggesting hepatic dysfunction) Etiological diagnosis In the background of her diabetes I would suspect the ?early diabetic nephropathic changes which is rapidly progressing I exclude hypertensive nephropathy because it is less likely to manifest with in one year of onset of diabetes • Still considering the ?heart failure because of her pedal edema shortness of breath I would exclude liver involvement because no evidence of hepatic dysfunction 2) What are the reasons for her: Azotemia – may be due to precipitated AKI which I attribute to ?pre renal