19 Nov 09, 23:41
Darren: ZT: You're most welcome!;)
19 Nov 09, 14:15
ZT: Thank u Darren, for clarifying my doubts in my nursing ICA. Ur blog is nice to read and it somehow also potrays on how hospitals of Malaysia run their system. Thanks a lot.
18 Nov 09, 23:28
Darren: ZT: Ya you can. DM and CRF can predispose patients to infections.
18 Nov 09, 20:18
ZT: i link the might-be uncontrolled diabetes that link to the sepsis?
18 Nov 09, 20:17
ZT: Actually there is no actual statement of why the patient is having a temp of 37.9 in the case scenario, as u said, it might be a sepsis. The CRF patient PMH are HTN and diabetes. So, in this case, can
18 Nov 09, 18:43
Darren: (cont) the approach should be similar to how u workup source of sepsis. Same goes for those suspicious of infection but afebrile, as sepsis is still likely.
18 Nov 09, 18:40
Darren: ZT: Hi ZT! Ya as u said, they r somewhat immunely suppressed, so fever might not be necessarily present during an infection. Hence if CRF pt presents with fever,
18 Nov 09, 00:15
ZT: So, my confused part is: a patient admitted with uremic symptoms and fever and is diagnosed with CRF, what is the cause of his fever?
18 Nov 09, 00:12
ZT: Dr.Lee, i would like to ask you a question about chronic renal failure patient. CRF patient will manifest impaired immune system and fever is supressed, often delaying the diagnosis of infection.
17 Nov 09, 22:46
Darren: Thanks Val!
17 Nov 09, 18:46
Val: Helo...i accidentally bump into ur blog when looking for Frank's sign for my PBL. Indeed a interesting and informative blog.
15 Nov 09, 23:02
Darren: Tiffany: Oh i posted up the map..in my last few posts..check it out..it's near the Thai border..
15 Nov 09, 12:18
Tiffany: No more. Pass the work down to others already. By the way, where is GriK?
15 Nov 09, 11:10
alyssa: haha..nope..not in 1st sem..7th sem now if you count it that way..still have 5 sems to go before i graduate =)
14 Nov 09, 15:58
Darren: Tiffany: Hi..quite sometmes didn't hear from you..so are you editng anymore journal? XD
14 Nov 09, 15:48
Tiffany: hello. drop by to say Hi~~~
14 Nov 09, 08:50
Darren: Thnx Hop3!
12 Nov 09, 23:46
Hop3: hey darren=) greetings from BP here. hoep u have a good time in ur new working place.
10 Nov 09, 19:33
Darren: alyssa: Thnx;) So u're in 1st sem now? Long way to go! But it'll be a memorable journey..;)
10 Nov 09, 10:43
alyssa: nice blog you have here! it's nice reading about what i'll be facing in 4.5 years' time!! hehe..
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