Acute lupus nephritis

Case contributed by Hani Makky Al Salam , 9 Jun 2016
Diagnosis certain
Changed by Daniel J Bell, 21 Apr 2018

Updates to Case Attributes

Age changed from 26 to 25 years.

Updates to Study Attributes

Findings was changed:

Flask shaped-shaped enlargement of the cardiac silhouette in-keeping keeping with pericardial effusion. The lungs are clear. 

Updates to Study Attributes

Findings was changed:

1. A huge large circumferential pericardial effusion is noted.

2. Mildly enlarged and increase in number of bilateral axillary lymph nodes and suggestion of increased number of mediastinal lymph nodenodes, however, evaluation is limited due to lack of ivIV contrast.  

3. The left lower lobe atelectasis is noted due to a small left sided pleural effusion. Small trace of right sided pleural effusionfluid.  

4. No masses or consolidation is seen.  

5. Mild pulmonary edemaoedema.

Updates to Study Attributes

Findings was changed:

1. There is a large circumferential pericardial effusion with signs suggestive of early tamponade.

2. StructuarllyStructurally normal aortic, mitral, tricuspidandtricuspid and pulmonic valves with trace tricuspid and pulmonic regurgtationregurgitation.

3. Normal chamber dimenstionsdimensions with normal right and left ventricular systolic function, Estimatedestimated LV EF is 60-65%.

Updates to Study Attributes

Findings was changed:

Decrease theDecreased amount of pericardial effusion after insertion of a drainage catheter. 

Updates to Study Attributes

Findings was changed:

US guided-guided renal biopsy

Updates to Study Attributes

Findings was changed:

Left perinephric hematomahaematoma as a complication of renal biopsy. 

Updates to Study Attributes

Findings was changed:

NormalizationNormalisation after treatment.

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