PHILIPPINE CHILDREN’S MEDICAL CENTER
SECTION OF NEPHROLOGY
December 2013
Service Consultants: Dr. Dayrit/ dela Cruz
Fellows-in-Charge: Dr. Cornejo/ Dr. C. Balot-Dizon/Dr. R. Estevez-Imperial
Resident-in-Charge: Dr. Carreos
In-Patients
Total Number of Carried Over Cases
Total Number of New Admissions
Total Number of Discharges
Transfer
Average Number of Hospital Days
Occupancy Rate
Mortality
Endorsed
Philhealth members
Referrals
Carried Over Referrals
New Referrals
Total Number of Referrals
Endorsed Referrals
Breakdown of Referrals
ER
GS
Hematology-Oncology
Neurology
Surgery
Neonatology
Cardiology
RICU
NICU
Gastroenterology
Pulmonology
Endocrinology
Procedures
Tenckhoff Catheter Insertion
Peritoneal Dialysis
Methylprednisolone Pulse Therapy
Cyclophosphamide Therapy
0
2
2
0
6
38%
0
0
0
6
12
18
3
1
0
5
1
1
4
0
0
0
0
0
Hospital
Number
Date of
Admission
Philhealth
46187
12/9/13
(-)
57019
12/16/13
(-)
Name
Age/Sex
Wt
Maninang, Julia
Mae
13/F
58kg
150 cm
Vaje, Nick
Jeremy
11/M
NEW PATIENTS
Admitting Diagnosis
Peritonitis
SLE Nephritis
Hypertensive
Encephalopathy
HSP Nephritis
CKD-PD
Final Diagnosis
Date of
Discharge
Disposition
12/17/13
No. Of
Hospital
Stay
9
Fungal Peritonitris
(Candida)
s/p removal of tenckhoff
catheter (12/14)
CKD sec to SLE Nephritis
Hypertensive
Encephalopathy, resolved
HSP Nephritis
CKD-PD
12/19/13
3
Discharged
Discharged
REFERRALS
CARRIED OVER PATIENTS
Hospital
Number
107623-13
Date of
Admission
10/23/13
Date of
Referral
10/23/13
Name
Age/Sex
Montilla, Gabee
62DOL/F
Reason for Referral
Final Diagnosis
Disposition
Elevated Creatinine
Expired
65009
OLD
11/20/13
11/261/13
Reyes, Joel
11/M
Increasing creatinine
Hypertension
Acute Kidney Injury (Prerenal)
Tubulopathy secondary to Amphotericin,
resolved
Preterm 26 weeks by BS, 40 wks CA
PDA
Sepsis Neonatorum
s/p IJ Cutdown, R (11/6)
HCAI (CONS)
CAH
Congenital Hypothyroidism
t/c Inborn Error of Metabolism
Acute Kidney Injury (Pre-Renal)
Hypertensive Encephalopathy probably
secondary to
Endorsed
109448
NEW
11/17/13
11/21/13
Prieto, Raffi
6/12
Hyperkalemia
110105
NEW
97032
OLD
11/27/13
11/27/13
Hypertension
11/26/13
11/26/13
Dela Cruz, Juliana
9/F
Berena, Maricris
10/F
104532
10/2/13
11/28/13
Antonio, Mary Joy
(1) Vascular Obstruction
(2) Fluid Overload
(3) CTT Pain
Hypertensive Encephalopathy
Extranodal Malignant Zone B-Cell
Lymphoma of MALT
Pleural Effusion Malignant vs
Parapneumonic
s/p thoracentesis 11/20
s/p CTT insertion 11/22
s/p paracentesis December 2013
Septic Shock, refractory
Status Epilepticus
HCAP
Sepsis
Trisomy 21
Subclinical Hypothyrodism
GER
t/c MSUD
Failure to Thrive
r/o RTA vs Hypoaldosteronism
Post-Infectious Glomerulonephritis
HAMA
Discharged
Co-management
Recurrent UTI prob sec to recurrent
infection r/o RTA
Uterine Didelphys
t/c Endometriosis
Cloacal malformation
s/p pelvic lap, hysterectomy, adhesiolysis
(2013)
UTI (E. coli ESBL+)
Nephrolithiasis R
IA s/p DBSC (2002), PSARP VUP (2008)
s/p cystolithotomy (2009) s/p
enterovesicostomy (2010)
Discharged
Nephrocalcinosis,
Nephrocalcinosis probably secondary to
Endorsed
59DOL/F
bilateral
chronic use of loop diuretic (furosemide)
t/c Medullary sponge kidney
Tubulopathy secondary to Amphotericin
PT 30weeks BS, 42-43 weeks CA,
Sepsis, HCAI (Klebsiella ornitholytica)
BPD severe, Immature Retina OU
pneumonia sp IJCD (12/13) t/c
pneumothorax, sp needling CTT R (12/29)
Hospital
Number
93675
Date of
Admission
Date of
Referral
12/10/13
105810
12/9/13
12/13/12
73244
12/13/13
12/14/12
70669
95269
Hospital
Number
110945
New
12/17/13
Date of
Admission
HEMATOLOGY-ONCOLOGY (5)
Name
Reason for Referral
Working Impression
Age/Sex
Padernos, May Ann
hematuria
AKI secondary to hemoglobinuria
15/F
Aplastic Anemia
Villasor, Renz Felix
Neurogenic bladder
Recurrent Urinary Tract Infection
3/M
(E.cloacae)Neurogenic Bladder
secondary to
Malignant Germ Cell Tumor,
sacrococcygeal arrest IV
Dela Pena, Karl
Vincent
Clearance prior to
chemo
12/23/13
Tac-an, James
Electrolyte imbalance
12/17/13
Nocillado, Trisha
Janeiro 14/F
Hypertension
Date of
Referral
12/12/13
Name
Age/Sex
Manaog, Sliver
Khiel
2/12/M
RICU (4)
Reason for Referral
t/c RTA
Disposition
Expired
Discharged
Tubulopathy sec to chemotherapy
(cisplatin, etoposide)
Neuroblastoma st IV
Discharged
Tubulopathy secondary to Chemotherapy
Medulloblastoma
Hyperaldosteronism secondary to
Adrenocortical Tumor
Discharged
Working Impression
Disposition
t/c Bartter’s Syndrome
HCAP
t/c immunodeficiency,
Discharged
Endorsed
112208
12/15/13
12/15/13
De asis, maria
Marjorie
18/F
110432
11/27/13
12/20/13
Colico, jeof
2/12/M
111137
12/5/13
12/26/13
Penaranda, Josh
Keane
1 3/12/M
Hypertension
Hyperkalemia
NEUROLOGY (1)
hypertension
oral candidiasis
Hypertensive Emergency, resolved
secondary to PSGN
r/o SLE
Hyperkalemia probably secondary to
thrombocytosis
Laryngeal edema
Sepsis, pneumonia
GER, PAH
discharged
Signed-out
Hypertension secondary to dysautonomia
TB Meningitis Stage II; s/p Cutdown of L
saphenous vein (12/8/13); s/p R PostParietal VPS (12/10/13); Cerebral Salt
Wasting; S/P Arrest 2x
Expired
Final Diagnosis
Disposition
SURGERY (1)
Hospital
Number
95126
Date of
Admission
12/2/13
Date of
Referral
12/5/13
92804
12/19/13
12/19/13
Name
Age/Sex
Comendador,
Eisenheim
5/12 M
Besmonte, John
Chester
3/M
Reason for Referral
Hypernatremia
ER (1)
Edema
Hypernatremic dehydration
AGE, severe
Septic Shock
Hirschsprung enterocolitis,
Hirschsprung’s Disease s/p Ileostomy
(Aug 2013)
Nephrotic Syndrome in relapse
PCAP B
Expired
discharged
PHILIPPINE CHILDREN’S MEDICAL CENTER
SECTION OF NEPHROLOGY
OUT-PATIENT DEPARTMENT
December 2013
Fellows-in-Charge: Dr. Cornejo/ Dr. C. Balot-Dizon/Dr. R. Estevez-Imperial
Resident-in-Charge: Dr. Carreos
November 2013
68
Total Number of Consultations
Total Number of Cases
New Cases
Old Cases
Total Number of OPD Days
Average Number of Consultations per OPD day
Procedures
Cyclophosphamide
Methylprednisolone Pulse Therapy
Renal Biopsy
4
64
6
11.3
1
2
1
BREAKDOWN OF OPD CASES
Nephrotic Syndrome
SLE Nephritis
PSGN
Neurogenic Bladder
Myelomeningocoele Neurogenic Bladder
Arnold Chiari II Neurogenic Bladder
VUR
FSGS
Acute GN/PIGN
RPGN
Frequency
8
4
9
Case
8
5
9
1
2
1
3
3
1
2
1
3
5
Recurrent UTI
Pelvocaliectasia
RTA
IgA Nephropathy
UTI
HPP
Renal Agenesis
MPGN
Takayasu Arteritis
Multicystic dysplastic kidney
Cystitis
HSP Nephritis
Minmal Change Disease
Cystolithiasis
Lipomeningocele
Wilm’s Tumor
CKD V
Membranous Glomerulonephritis
Neuroblastoma
Pheochromocytoma
Trandient tubulopaathy
Adrenocortical CA
HPN Encephalopathy
Minor glomerular abnormalities
Essential hypertension
Obstructive uropathy
2
1
3
1
3
1
3
1
2
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
PROCEDURES
Hospital Number
151639
OLD
S/P CYCLOPHOSPHAMIDE THERAPY
Name
Admitting
Age/Sex
Diagnosis
12/10/13
Nogas, Shila 18/F
SLE Nephritis
Date
Final Diagnosis
SLE Nephritis
s/p Cyclohposphamide
(12th cycle)
Hospital Number
61098-12
OLD
Old
S/P METHYLPREDNISOLONE PULSE THERAPY
Name
Admitting Diagnosis
Age/Sex
12/10/13
Ortilla, Mark Andres
Minimal Change Disease
7/M
(6% global sclerosis)
Date
12/17/13
Asaytona, Jhon
Lawrence
14/M
Nephrotic Syndrome
Final Diagnosis
Minimal Change Disease
(6% global sclerosis) (2 of
32 glomeruli)
s/p MPT (5th cycle)
Minor Glomerular
Abnormalities (Segmental
Podocyte Foot Abnormality
with 10%Global
Glomerulosclerosis (6 of 64
Glomeruli)
RENAL BIOPSY
Hospital Number
Date
1526540
12/11/13
Name
Age/Sex
Letti, Dan Jerick
15/M
Admitting Diagnosis
Final Diagnosis
Nephrotic Syndrome
Focal Segmental
Glomerulosclerosis with 4
% Segmental
Glomerulosclerosis (2 of 45
glomeruli)
December 2, 2013
OPD CENSUS
Hospital No.
Name
Contact no
17308-11
Bustamante, Rene
09478451335
10
M
83721-13
Padua, Carl
8m
M
30276-11
173755-13
Santiago, Damser
Espellogo, Bb. Boy
Age
5
2m
11
Sex
M
M
F
Ht
Wt
Diagnosis
Plan
130
25.2
Neurogenic
bladder
secondary to
LSM
60
5
Recurrent UTI 2
to PUV
s/p vesicostomy
For BUN, Crea, VBG, electrolytes
For KUB UTZ with pre and post
FF up with results
Monitor UO
Decreased Amoxicillin drops, 0.5ml ODHS
Continue NaHCO3 1 tab BID
For UBG on Jan 6, 2014 to include urinalysis
FF up 1/6/14
23.5
Recurrent UTI 2
to VUR gr 4,
Left
VUR gr 2, Right
4.2
FT, Trisomy 21;
Mild
pelviectasia, L
23.6
Presumptive
UTI
Neurogenic
bladder
Meningocele
s/p repair 2006
116
50
066005
Braceros, Fiona
127
110702-13
Carolino, Jhun
09329026828
12
M
151
78
Primary
(Essential) HTN
vs HTN 2 to
obesity
25661-11
Ba-ang, Kristela
13
F
140
39.2
FSGS
78373 2013
Umerez, Jean
9
F
62
6.1
Arnold Chiari II
Cont NaHCO3 650mg/tab 2 tab TID
CaCO3 500mg/tab ½ tab OD
For U/A, UBG 1/6/14
FF up after 3 mos with repeat KUB UTZ, UA,
BUN, Crea, serum electrolytes, VBG
FF up to all services
Update immunization
Urine CS
KUB UTZ with cortical thickness
Pre post void
CIC q6
Cefuroxime 500mg/tab 1 tab BID x 7 days
Refer to urology once treated
Diet modification
LSLF diet
Daily BP monitoring
For BUN/Crea; serum electrolytes; lipid profile;
FBS
TCB 12/16/13 with results
Still for cylosporin 500mg 1 cap BID
Continue predinosine 20mg OD
Continue
CaCO3 OD
For Serum creatinine and SGPT
TCB after 2 weeks
Increase CBC q6
malformation
Neurogenic
bladder
Resume Amoxicillin 0.9ml ODHS
Incrased OFI
FF up 12/5/13
December 9, 2013
OPD
number
100309-13
Name
Age/Sex
Ht/wt
Diagnosis
Plan
Asuncion, Anie
09325911744
10/F
124/25.6
Nephrotic Syndrome
110923-13
Braceros, Fiona
11/F
128/24
72029
Legaspi, John
09212181053
8/M
129/30.9
UTI, resolved
Neurogenic bladder
Meningocele s/p repair (2006)
Nephrotic Syndrome
95065-13
Fajardo, Jhin
094824886107
4/M
93/12.5
Cystolithiasis
s/p Cystolithotomy
81692-13
Cepida, Glady
Jose
2/M
87/8.8
Minimal Change Disease
Spontaneous Peritonitis
95269-13
Nicillaos, Trisha
14/F
137/49,5
Adenocortical CA
46882612
1007128
Beringuel, Mark
Tero, Reidan
16/M
6/M
168/98.6
112/19.8
PSGN
Recurrent PSGN vs. IGA
Decrease Prednisone 10mg/tab 2 ½ tab EOD
Cefuroxime 250/5ml , 7.5ml BID
Hep Profile
TCB on Jan. 6 with Urinalysis
Continue CIC every 6 hours
Start Cotrimoxazole 8/5ml 5ml BID for 10 days
Repeat Urine CS on Dec 18, 2013 with results
Prednisone 10mg/tab, 1 ½ tab EOD
Cont. Enalapril 50mg/tab 1 tab OD
Dipyriidamole 250mg/tab 1 tab BID
FF up on Dec 23 with repeat UA
Gargle with Bactidol
Clarithromycin 250mg/tab BID 7 days
For urine culture and sensitivity
Increase oral fluid intake
FF up on 12/12/13 with UA results
Complete Cefuroxime for 10 days then for repeat UA
after treatment
Continue Enalapril 5mg/tab, 1 tab OD
CACO3 550mg/tab ½ tab OD
Metoprolol 50mg/tab OD
Losartan 50mg 1 tab OD
Amlodipine 10mg/tab 1 tab OD
Enalapril 10mg/tab BID
Spironolactone 25mg.tab 1 tab BID
Cont. Kalium Durule
BP monitoring
Please monitor and record urine output
For repeat serum electrolyte, UA
Follow up on Dec. 19, 2013
ff-up on Feb. 2014 with UA results
For Anti D DNA, ASO det
nephropathy
Rule out LN
11125513
Lluz, Catherine
8/F
105/13.8
Recurrent UTI prob 2 to VUR
97099
Lagdamen,
Christine
Ortilla, Mark
Nogas, Shila
9/M
120/21.8
PSGN, resolved
For repeat UA
If still with hematuria, plan for renal biopsy
Possible oral meds to be given: Pred, fish oil
If to consider RGN, plan to repeat C3 det after 8
weeks
OPD ff up once with result
Cont. for 5 more days
For VCUG once cleared of UTI
For Crea
For urinalysis on Thursday
OPD ff up Feb 3, 2014 with repeat UA
7/M
18/F
122/31.8
40.4/159
MCD 6% global sclerosis
SLE Nephritis
Methylprednisolone 920mg
Cyclophsphamide 12th cycle
61098
151639
OPD
Number
115696
Name
Cerbito, Janzel
09202586466
Age/Sex
9/F
December 12, 2013
Height/Weight
Diagnosis
111/19.7
Plan
Neurogenic bladder
secondary to LSM
ACM II S/P VPS
S/P Repair




24966-11
Magno, Jeryhen
Lhya
09292878932
4/F
98/13.3
RTA; r/o PTB
64145-2012
Sicad, Kian Ed
09202630616
6/M
105/16.8
AURI
Minimal Change Disease
Unrelapse







001072008
Tero, Reidan
09296699354
09156499427
6/M
145/19.2
Recurrent PSGN



For DMSA once with funds
For intermittent catch and temporary
indwelling at night
Measure urine output while on indweller
FF up after 1 month with repeat urinalysis
Continue Nitrofurantoin 100 mg/tab, ½ tab
once a day at bedtime
For PPD, CXR-PA
Continue NaHCO3 650 mg/tab, 2 tablets
BID
FF up once with results
Start Clarithromycin 250 mg/5 ml, 2.5 ml
every 12 hrs for 7 days
Inc. Prednisone to 10 mg/tab, 1 tab once
a day after breakfast
FF up on Thursday (Dec. 19, 2013) with
repeat urinalysis
Co-Amoxiclav 457/5 ml give 5 ml 2x a day
for 7 days
Prednisone 10 mg/5ml, give 5 ml 2x a day
OPD ff up Dec. 19, 2013 with repeat

60605-2012
Nallares, Mary
Cris
09205396546
Simacon, Bea
486-17-98
3/F
104/27.5
UTI
VUR
1/12
month/F
54/3.6
T/C Neurogenic Bladder
Pure red cell aplasia
48394-2012
Sayawan,
Jerome
983-18-49
13/M
159/39
RTA
111255-13
Lluz, Catherine
No contact no.
8/F
106/14.3
Recurrent UTI probably
secondary to VUR
109887
















urinalysis
Due repeat C3 level on January 31 if
decrease = for kidney biopsy
For VCUG
For referral to Urology
Continue Cefuroxime for 3 more days
For urinalysis
Baseline creatinine
For urodynamic studies
For referral to Urology
For Lumbosacral MRI
CIC q8
Amoxicillin drops 0.5 ml OD
TCB with results
Decrease NaHCO3 650 mg/tab (2-2-1)
Decrease Kalium durule 1 tab q12
FF up after 1 month with VBG and
electrolytes
Still for urinalysis, creatinine and VCUG
(once cleared with UTI)
Amoxicillin 250 mg/5 ml, 4 ml once a day
before bedtime
December 16, 2013
HOSPITAL
#
95070
24966
31585
NAME/CONTACT
NUMBER
Tinas, Zachary
Ethan
Magno, Jeryhen
Lhya
AGE/SEX
HEIGHT/WEIGHT
DIAGNOSIS
4/12/M
64/7.1
4/F
98/13.2
Multicystic Kidney
Pneumonia
URTI, R?O PTB III
t/c RTA
Dela Cruz, Melody
14/F
150/50.8
IgA Nephropathy
PLAN
For admission: THOC
Monitor I and O x 1 week
Start co-amoxiclav 250mg/5ml
aml BID x 1 week
For UA after 1 week
WOF for recurrence of chest pain
and edema
For repeat 2D ECHO and ECG
Increase fish oil 1000 IU I cap
BID
Continue Vit C and E
22342
Lansang, Daniel
15/M
149/34.6
Minor glomerular abnormalities
59644
Nataio, Mark
9/M
30.5
Neurogenic Bladder
19677
Hatol, Hannah
4/F
72/9.1
SVI t/c hand, foot and mouth
disease
48741
Biglang-awa, Cogie
3/M
86/12.6
Focal Segmental
glomerulosclerosis with 2% global
sclerosis s/p 4th cycle of
methylprednisolone
Acute tonsillopharyngitis
Adunay, Christine
Joy
4/f
102/17
VUR resolved
Corpuz, Jon Lord
16/M
156/40
Nephrotic Syndrome
101710
OPD ff-upMay 29, 2014 with
repeat UA
Cont. prednisone 5mg/tab 1
tab BID x 1 month
Caco3 500mg/tab 1 tab OD
Resume Enalapril 5mg/tab 1
tab OD
ff-up after 1 month with repeat
UA, CBC and crea
In nitrofurantoin to 100mg 1 ½
tb OD (5mkd)
Warm saline gargle
Inc ofi
Ascorbic acid
Xylogel dental cream
Paracetamol 250mg/5ml, 2 ml
q4 for fever
Ff up on Wednesday if still
with fever with CBC
Dec methylprednisolone to
16mg/tab ½ tab every other
day for 2 wks
Continue MMF 500mg/tab ½
tab evry 12 hours
Start clarithromycin 128
mg/5ml 4 ml every 12 hours
for 7 days
ff-up Jan 6, 2014 with repeat
UA
Monthly urinalysis
For DMSA once with funds
ff-up feb 7, 2004
repeat serum E and UA
inc OFI
Continue Prednisone 5mg/tab
1 tab every other day
Continue caCO3 500mg/tab 1
tab OD
72723
Corbeta, Lougie
11/12/M
71/10
Multiple Cystic Dysplastic Kidney
disease
20483
Oblepias, Gie Anne
15/F
146/58
Nephrotic Syndrome, remission
76104
Solis, Clarence
4/M
97/13.6
Nephrotic Syndrome
LRTI
26280
De Asis, Seth
Helaman
2/M
87/13
Neurogenic Bladder sec to
Lipomeningocoele
Conjunctivitis, R
HOSPITAL
#
47642-12D
NAME/CONTACT
NUMBER
Lopez, Aila Subas
09484984412
AGE/SEX
December 19, 2013
HEIGHT/WEIGHT DIAGNOSIS
15/F
152/ 44
Distal RTA
43891-12
Camaya, John
Lloyd
09283682189
14/M
145/ 38
SLE Nephritis
ff-up after 1 month with repeat
UA
For UA every month
For s. crea every 4 months
Inc OFI
OPD ff-up Feb 3, 2014
For HPV, MMR
ff-up after 6 months with UA
For Admission
Cont prednisone 10mg/tab
give 1 ½ tab EOD
Dec enalapril 5mg ½ tab OD
Dec Dipiridamole 25mg 1 tab
OD
Dec CaCO3 5mg ½ tab OD
For biopsy
For urinalysis monthly
Continue CIC q 6 hours
Start amoxicillin 250mg/5ml 4
ml OD at HS
Tobramycin eye drops 2
drops R eye 3x a day x 1 wk
every 6 months
Serum crea
Ideally for UCS of 2 months
PLAN
Continue K Citrate 3 tabs TID
High Potassium Diet\NaHCO3 650mg/ tab
4-3-3
Ff up after 1 month with repeat UA serum
electrolytes, ABG
Vitamin B complex 1 tablet OD
Still for Kidney Biopsy
For UA, S. Crea, CBC
Continue medications: Hydrochloroquine
103824-B
Tinagan Carl
Vincent
09999450262
3/M
101/ 23.2
Membranous
Glomerulopathy
066005
Braceros. Fiona
Beatrice
11/F
128/ 24.3
UTI, Enterobacter
Cloacae
Neurogenic bladder
Meningocoele, S/P
Repair LSM (2006)
110105-13
Dela Cruz, Juliana
09224920776
9/F
132/25.5
28585-11
Castro, Marie
Joyce
09394141507
17/F
154/ 43.2
Acute
Glomerulonephritis,
resolved
S/ P Nephrectomy, R
T/C Allergic Cough vs.
Viral ATP
89754-13
Tuazon, Randy
09155899929
4/M
102/16.1
Nephrotic Syndrome,
Steroid dependent,
Frequent Relapses
PTB III, completed 6 mos
tx last December 13,
2013.
8169213
Cepida, Glady
Jose
2/M
87/ 12.8
Minimal Change Disease
Spontaneous Peritonitis
841452012
Sicad Kean Ed
09398841355
5/F
106/ 16
Minimal Change Disease,
Steroid Dependent
2mg/tab 1 tab OD; Valsartan 1 tab OD; Pb
60 mg/ tab OD
Ff up on January 30, 2014 with results of
CBC UA and Crea
1. Continue ff meds: Cyclophosphamide tab 50
mg/ tab OD; Prednisone 20 mg 1 ½ tab every
other day; Ca Co3 500 mg ½ tab OD; Enalapril
5 mg ½ tab OD; INH 200 mg/ 5 ml 5 ml OD
1. Start Nitrofurantoin 50 mg/ cap 1
capsule q6 x 7 days
2. Continue CIC q6
3. Repeat Urine CS on Dec 26 day 5 of
Nitrofurantoin
4. FF up on December 26with rpt Urine
Culture result
5. For rpt Serum creatinine after 3 mos
(March)
Still for UA and C3 on January 27, 2014
1. For Ff up on January 23, 2014 with
repeat UA, serum creatinine, serum
electrolyte, ABG
2. Cetirizine 10 mg/ tab 1 tablet once a
day for 5 days
1. Still for kidney bipsy once with funds
2. Star MMF 250mg, 1 tablet q12 after
meals
3. Enalapril 5 mg ½ tab once a day
4. CaCo3 500 mg ½ tab OD
5. OPD ff up on Jan 6, 2014 with rpt UA,
CBC, S. creatinine
6. Increase egg white in diet
1. Complet Cefuroxime for 10 days then
UA after 10 days
2. Cont. Enalapril 5 mg/ tab 1 tab OD
3. Cont. Ca CO3 550mg/ tab ½ tab OD
1. MMf 250mg/ tab ½ tab 2x a day
2. Prednisone 10 mg/ tab once a day
50989-1210
De Rama, Arjon
09197095395
5/M
103/ 14.3
IgA Nephropathy
111255B
Luz, Catherine
09051343670
8/F
06/ 13.3
Recurrent UTI
20045-11
Angeles, Maricris
09084122072
5/F
104.5/ 15.5
1093072013
Tero, Reidan
09296699354
6/M
112/19.5
Obstructive Uropathy
S/P Partial Nephractomy,
R (2009)
Recurrent PSGN
DECEMBER 23, 2013
3. Cont. Enalapril 5mg/ tab 1 tab once a
day; Dypiridamole 250 mg/ tab, 1 tab
OD
4. Caco3 500 mg/ tab, 1 tab OD
5. FF up on January 6, 2014 with rpt UA,
CBC c APC, Creatinine
6. WOF abdominal pain, vomiting and
nausea
1. Start Mycophenolate Mofetil 250mg 1
tab 2x a day after meals
2. Continue Prednisone 5 mg/ tab EOD
3. Continue Enalapril 5 mg ½ tab OD
4. Continue Ca Co3 5 mg ½ tab OD
5. FF up on Jan 9, 2013 with rpt UA, CBC
and S. Creatinine
For Urine Culture
For referaal to Urology
For Serum Creatinine, serum electrolytes, UBG
For Admission- THOC
For CBC, Serum Phosphorus, electrolytes
creatinine
FF up on January 6, 2014 with results
1. For rpt C3 on January 27 include UA
2. OPD Ff up on January 30, 2014with
result
Hospital No.
17639-A
Patient
Nogas, Jessa
Age/Sex
12/F
Ht/Wt
159/40.3
Diagnosis
SLE Nephritis Class 4
s/p 12 cycles of
cyclophosphamide
84879-13
Lambolota, Claire
09394402252
9/F
/47.4
NB s/p Vesicometry
106412-P
Bendicion, Kent Charles
09321301640
11/M
131/23.7
PSGN, Infected Wound
Scabies
92299-13
Manuel, Francis Kendry
3/M
99/14
Transient Tubulopathy sec
to chemodrug; r/o UTI
90559-13
Andales, John Allen
11/M
140/49.3
RPGN, HPN
encephalopathy
112208-13
De Asis, Maria Marjorie
09239397179
18/F
150/41
PSGN
Plan
>Discontinue CaCo3 and Enalapril.
>Continue Hydrochloroquine 200mg/tab OD
and Prednisone 5mg/tab 1 tab OD
>Follow up on Jan 23, 2014
>Start Cefixime 200mg/cap 1 cap BID x 7
days
>Hold Nitrofurantoin whole on Cefixime
>OPD follow up on Jan 6, 2014 with results
of urinalysis and urine culture, ABG, and
serum electrolytes.
>Continue NaHCO3
>Increase Nitrofurantoin to 100 mg 1 cap
ODHS; 50mg 1 cap ODHS
>Increase OFI
>Start Iterax 1 tab ODHS
>Cetirizine tab 1 tab OD AM
>Co-Amoxiclav 375mg/tab 1 tab BID x 7
days
>Ff up on Jan 2, 2014
>For urine culture
>Please monitor urine color and dysuria
>Follow up with results
>Advised.
>Still for renal biopsy
>Increase NaHCO3 to 650mg/tab BID
>Continue Enalapril 10mg/tab 1 tab BID
>Amplodipine 10mg/tab 1 tab once a day
>Prednisone 20mg/tab 1 tab every other day
>Allopurinol 160mg/tab 1 tab BID
>Phenobarbital 60mg/tab 1 tab OD am,
75mg/tab 1 tab OD pm
>follow up after 1 month with repeat Blood
uric acid, VBG, Creatinine, UA on Jan 20,
2014 Monday
>Decrease Amlodipine 5mg/tab BID
>Continue BP monitoring at home care of
Health Center and record
>For repeat Urinalysis on ff up
>Low salt diet
44087-13
Soriao, Julia Victoria
5mo/F
48/4
92804-13
Besmante, John Chester
3/M
92/16
46187-12
Maninang, Julia
09213814531
13/F
151/60.1
December 26, 2013
57019
Vaje, Nick
Jeremy
11/M
23.3/121
CKD 5
HSP Nephritis
33683
Quilla, Ryzen
5/M
13.5/101
RPGN
s/p stiff catheter
insertion
s/p Tenchkoff insertion
AURI
110889
Arcega, jovelyn
11/F
23/126
SLE
r/o Nephritis
Recurrent UTI sec to
urogenic bladder sec to
sacral agenesis
AURI, resolving
Nephrotic Syndrome in
relapse
SLE Nephritis
>Advised
>Continue Nitrofurantoin 100mg/cap
25ppcaps, 1 ppcap OD
>ff up on Jan 23, 2014 with UA result
>Continue Co-Amoxiclav for 3 more days
(Dec 26, 2013)
>Continue Clarithromycin for 7 more days
(December 30, 2013)
>Prednisone 20mg/tab 2 tabs once a day
after breakfast for 2 weeks
>Enalapril 5 mg/tab ½ tab OD
>follow up after 2 weeks (Jan 6, 2013) with
repeat Urinalysis
>Discontinue Clindamycin
>Continue Fluconazole until 12/30/13
>Decrease Clonidine 25mcg 1 tab OD 2PM
> Enalapril 10mg/tab 2 tabs BID (6-6)
>Amlodipine 10mg/tab 1 tab BID (10-10)
>MMF 200mg/cap 2 caps 2x a day
>Prednisone 20mg/tab 1 tab OD
>CaCo3 500mg/tab TID
>NaHCO3 650mg/tab 1 tab TID
Combivent neb q 6
Clarithromycin 125mg/5ml 5 ml BID x 1 wk
I and O monitoring
ff-up after 2 wks
Inc OFI
Clarithromycin (15) 4 ml BID x 7 days
For repeat UA after 6 months
If (+) protein do renal function test
If (-) do micral test
Advised
For Urine PCR, BUN, Crea
ff-up at Nephro OPD once with results
Start Enalapril 5mg/tab 1 tab OD
113042
Antaran, Jamie
11/F
27.3/127
t/c Nephrotic
Syndrome
Advised
TCB once with results
UA, TOAG, BUN, Crea, electrolytes, cholesterol, VBG BUN, Crea, CBC,
electrolytes
Tcb with results
For biospy