Systemic lupus erythematosus with nephritis

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Reference no: EM133704962

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The patient is a 50-year-old female with known systemic lupus erythematosus with nephritis. Her renal function has been worsening over the past several months. Today the patient came to the emergency department complaining of pain in her chest that was worse when she coughed or took a deep breath. The ER physician heard a "friction rub," but a chest x-ray was inconclusive that any pleural effusion was present. The patient was admitted to the hospital. It was determined that the patient had pleurisy, but it was uncertain if it was related to her lupus. The patient also had diarrhea, dehydration with hyponatremia, hypokalemia, and azotemia. Intravenous fluids and medications were administered to correct her metabolic disorders, diarrhea, relieve the pain of the pleurisy, and treat her worsening renal function from her lupus.

Reference no: EM133704962

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