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Ischemic stroke with Right Middle Cerebral Artery Infarction with sepsis…

- - - - Creatinine 1.74mg/dl (0.67-1.17)
      - GFR(CKD-EP) 28.28ml.min (60)
      - BUN 48mg/dl (6-20)
      - GFR(MDRD) 28.52ml.min (60)
    - - Rbc 30-50 (0-2)
      - Bacteria 2+ (Negative)
      - Wbc 10-20 (0-5)
      - Leucocyte 2+ (Negative)
    - - (28/09/63)Intake/Out put=1,500 ml/day:800 ml/day
      - (29/09/63)Intake/Out put=1,500 ml/day:Urine 750 ml/day
      - (30/09/63)Intake/Out put=1,400 ml/day:Urine 600 ml/day
  - - - Sputum culture
        
        klebsiella pneumoniae ssp pneumoniae
      - Sputum Gram's Stain
        
        Gram negative bacilli : Few
      - CBC
        
        Rbc 4.13×10^6/ul (4.5-6)
        
        WBC 12.27×10^3/ul (4.5-10)
        
        Hct 31.8% (39-54)
        
        Hb 10.5g/dl (13-18)
        
        Lymphocyte 8%(20-40)
        
        Neutrophil 84% (35)
  - - - Hct.31.8 %(37-47)
    - - Sodium147mmol/l (135-145)
        
        Hypernatremia
      - Chloride 117 mmol/l (98-107)
  - - - CT-Brain non contrast : hypodense lesion at rt corona radiate
      - MRI brain : restricted diffusion at Right MCA infarction, Lt corona radiate , Lt Basal ganglion
- - - - atherosclerosis
        
        Broken blood vessels
        
        Thrombus
        
        Having a pathological condition that causes the obstruction of the arteries in the middle cerebral arteries.
        
        Causing the brain ischemia
        
        There is a release of substances that are toxic to the nervous system.
        
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