Beruflich Dokumente
Kultur Dokumente
Hesti Kurnia
030.13.093
Pembimbing:
dr. Arif Gunawan, Sp.PD
INTRODUCTION
The demand and use of
complementary and
alternative medicine (CAM) is
on the increase in many
countries
A 22 year-old
female student
Progressive decrease in
urinary output and at the time
of presentation she was anuric
Generalized Swelling of the face and legs
abdominal pain (-)
Vomittng (<500 ml) Seizure (-)
Fever (-) Altered consciousness (-)
Pasage loose stool (-) Difficulty in breathing(-)
Foul smelling vaginal
discharge (-)
CLINICAL EXAMINATION
Concious Respiratory examination
is normal
Well-hydrated
Tenderness in the
Afebrile epigastric and right iliac
Pulse rate of 96/min fossa regions
Blood pressure No palpably enlarged
110/70 mmHg organ
URINALYSIS
pH of 6.0, The white cell count was
11,000 cells/cmm
Specific gravity of
1.020 Hematocrit was 33%
Protein (-) The platelet count was
172,000 cells/cmm
Glucose (-) and
The liver function test
Blood (-) was essentially normal
Granular cast (-)
LABORATORY PROFILE
CASE PRESENTATION
LABORATORY PROFILE
Abdomino-pelvic scan RADIOGRAPHY
showed normal liver and
bulky uterus with product of
conception.
Alteration of intra-glomerular
hemodynamics
Tubular cell toxicity
Inflammation
Crystal nephropathy
Rhabdomyolysis
Thrombotic microangiopathy
Factors Contributory to Nephrotoxicity of
Herbal Medications