Does sepsis always get to be first?
Hi all,
I am requesting a bit of help in determining what should be the principal diagnosis for the following case:
Pt has a current history of IVDA. Upon workup, he was found to be in acute renal failure and found to have possible glomerular nephritis. He was discharged a week ago following Sepsis from Streptococcal pna. He is currently still completing his antibiotic treatment for the strep infection.
The MD has listed "streptococcal sepsis currently on antibiotics" as one of his diagnosis. In addition to Acute Renal failure most likely due to Glomerular Nephritis, most likely d/t post strep infection.
Which is the most accurate principal dx in this case?
Sepsis (even though in remission & finishing abx) or Glomerular Nephritis?
Or Acute renal failure?
Thanks,
Cheree
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I am requesting a bit of help in determining what should be the principal diagnosis for the following case:
Pt has a current history of IVDA. Upon workup, he was found to be in acute renal failure and found to have possible glomerular nephritis. He was discharged a week ago following Sepsis from Streptococcal pna. He is currently still completing his antibiotic treatment for the strep infection.
The MD has listed "streptococcal sepsis currently on antibiotics" as one of his diagnosis. In addition to Acute Renal failure most likely due to Glomerular Nephritis, most likely d/t post strep infection.
Which is the most accurate principal dx in this case?
Sepsis (even though in remission & finishing abx) or Glomerular Nephritis?
Or Acute renal failure?
Thanks,
Cheree
The Denver Health email system has made the following annotations
---------------------------------------------------------------------CONFIDENTIALITY NOTICE - This e-mail transmission, and any documents, files or previous e-mail messages attached to it may contain information that is confidential or legally privileged. If you are not the intended recipient, or a person responsible for delivering it to the intended recipient, you are hereby notified that you must not read this transmission and that any disclosure, copying, printing, distribution or use of any of the information contained in or attached to this transmission is STRICTLY PROHIBITED. If you have received this transmission in error, please immediately notify the sender by telephone or return e-mail and delete the original transmission and its attachments without reading or saving in any manner. Thank you.
Comments
Is glomerular nephritis an acute or chronic issue that you would be admitted for if you didn't have AKI?
Thanks for the input.
Cheree
Not sepsis unless he has clinical indicators on this admission from meeting sepsis criteria
Is glomerular nephritis an acute or chronic issue that you would be admitted for if you didn't have AKI?