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AKI secondary to ?viral infection /NSAID abuse

This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. A 45 yr old female who is farmer by occupation.,with h/o B/L knee pains (? Osteoarthritis) taken injections for pain relief by RMP for every 2-3 days since 1yr .no h/o small joint pains or early morning stiffness   She was apparently asymptomatic 1 1/2 month back -had fever,  which lasted for 6days, low grade intermittent -pt had taken T. Dolo 650mg TID for 3days following which pt became hypoactive (drowsy but arousable)  -was taken to hospital on 11/8/21  where  routine investigations done, showed plt count of 7000 (for which 1 SDP transfusion was done)  with denovo HTN(170/90) and DM 2 (GRBS-233)  and mana

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