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Diagnosis at admission:Cronic Renal insufficiency Nephroglomerular for

evaluation,Secundary Arterial Hypertension,Dislipidemia
Glomerular nephropaty with IG A
Primary diagnosis at discharge:Cronic Renal Disease Stage II
Glomerular Nephropaty with IGA
Secondary Renovascular Hypertension
Hypertensive Cardiomiopathy
Bilateral Renal Lythiasis
Left Renal Medulary Chist
Hypertensive Retinopathy Stage I
Hepatic Steatosis
Mixt Dislipidemia
Clinical

The patient is discharged with the following recomandations:

1.Low sodium low protein diet, Liquid consumption of 1.5-2l/day.Avoid
Steroids,ACEI,Gentamicin)
2.Treatment with:Nebilet 5mg tb /day,Prestarium 5mg 1 tb/day,milurit 100 mg
1tb/day,Pentoxifilin R 400 mg 1tbx2 /day
3.Direction to Clinical Nephrology Hospital carol Davila Bucharest for renal biopsypunction
4.Control of Blood Pressure,Heart Rate at the GP.

Epicrisis:Patient with no history of renal disease has for the last 2 monts high BP values,
matinal palpebral edema,and biological high ammonia retention values
Biologic HLG- not modified,Inflamatory syndrome,proteinuria,hematuria, Hialin
cylinders,etrithrocites ciliinders
NR 2.
POPA VASILE age 59
Diagnosis on admission: Renal Chronic Failure Stage IV-Renal transplant,Secondary
Hypertension
Diagnosis at discharge:Cronic Renal Failure Stage IV-Renal Transplant-From a patient in
cerebral death,

2.Chronic graft dysfunction

3Renal Parenchymal hypertension
4.Low glucose Tolerance
5.Hyperuricemia
Patient at the age of 59, with known CRF stage IV,Renal Transplant(2013),Secondary
Hypertension , was admitted with polakiuria and disuria, macroscopic Hematuria,fatigue
3-4 days ago.
Recomandations:
1.Low sodium low protein diet
2. treatment with: Neoral 50 mg 1tbx2/day
cellCept 500 mg 2tbx2/day
Prednison 5mg 1tb/day
Milurit 100 mg /day
Omnic 0.4 mg 1 tb/day
3.Monthly nephrological Reevaluation

Nr.3
Simion Cristi Daniel
Diagnosis on admission:Nephrotic Sindrom-in treatment with Corticosteroids
Diagnosis at discharge: Chronic Glomerulonephritis with minimal lesions
Iathrogenic Cushing
Dislipidemia
Grade I Obesity(BMI-34.6 kg/m2)
17 years old Patient known with nephrotic syndrome in treatment with corticoids
,Chronic Glomerulonephritis with minimal lesions since 11 years old was admitted for
palpebral and pretibial edema,oliguria .
Under treatment with neoral,Prednisone,diuretic,gastric protector,antiemetic,antibiotic
with a favorable evolution
Recomandations at discharge:Neoral 50 mg 2cpx2/zi(M-E)
Prednisone 5 mg 7 tb/zi
Nolpaza 40 mg 1tbx2/day
2. Monthly nephrological Reevaluation
NR.4
Seracin Octavian
Diagnosis on admission: CRF with acute simpthoms,Prepielic chist,Moderate
dehydration syndrome
Diagnosis at discharge:Acute CRF-prerenal mechanism=Dehydration hypovolemia from
vomiting)
Chronic lithiasic tubulo-interstitial nephropathy
Scleroathrofic Right kidney

High urinary Infection with E.coli

Nazolabial Herpes
BPH operation
Urinary effort Incontinence
Cervical spondiloarthrosis
Metabolic Acidosis
Patient 79 years old with renal history,nicturia(for 2 years) ,Hbp operation was admitted
with nausea,vomiting
Recomandations:1.Low sodium normal calories normal sodium diet,appropriate liquid
consumption,avoid Non Steroid anti infalmatory ,gentamicin,ACEI, iodium contrast
substance ]
Treatment with:Augmentin 1g/12 h 10 days+urology treatment:ominic Tocas 0.4 mg
1cp/day 1 month,Uriclar 1 cp /dayx3 days,Milurit 100 mg x2/day,Flucovim 50 mg 1
cp/day 7 days
Repeat the uroculture in 1 moth
Urologic control in 1 month
Monitor BP,HR at GP