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.. |