Chronic inflammatory

demyelinating polyneuropathy
(CIDP) is an acquired heterogeneous
disorder affecting peripheral nerves
caused by a demyelinating process,
producing sensory loss and positive
sensory symptoms as well as motor
weakness.
 CIDP is closely related to
GuillainBarr syndrome and it is
considered the chronic counterpart
of that acute disease. Its symptoms
are also similar to progressive
inflammatory neuropathy.
 Its prevalence may be as high
as 9 per 100,000 population. It is
more common in men than in
women with a ratio of 2:1. The
diagnosis is the same with GBS.
 CIDP could be diagnose
with the history. The signs and
symptoms experienced must
exceed up to 8 weeks for it to
be diagnosed CIDP.
 The disorder is sometimes
called chronic relapsing
polyneuropathy (CRP) or chronic
inflammatory demyelinating
polyradiculoneuropathy (because
it involves the nerve roots).
LABORATORY
EXAMS
DOPPLER ULTRASOUND
February 13, 2017

Impression:
Dilated Right Ventricle
Dilated Right Atrium
Severe Pulmonary Hypertension
CHEST X-RAY
February 13, 2017

Impression:
Haziness at right basal lung field
Pneumonia right base
Enlarged heart shadow
Immunology Report
February 14, 2017

Area Result Normal Values

Troponin I .01ug/ml <_ .01

Urine Analysis
February 14, 2017

Area Patient Result

Color Dark Yellow
Proteins ++
Blood +++
WBC +
RBC 651/ hpf
 Blood Chemistry
February 17, 2017
Area Result Normal Values

Creatinine 631 71 115

Sodium 133.6 136 145
Potassium 5.4 3.5 5.1
Immunology Report
February 17, 2017

Area Result Normal

Values
Hepa nonreactive nonreactive
BsAG
RBC 4.69 4.5 6.7
 Blood Chemistry
February 23, 2017
Area Result Normal Values

WBC 36.64 4.0 10.0

Neutrophils .86 .55 - .65

RBC 3.89 4.5 6.7

Hgb 108 30 - 180

Hct .32 .4 - .5
 Culture and Sensitivity of
Tracheostomy Tube secretions
February 13, 2017
Impression:
Klebsiella pneumoniae
Blood Chemistry
April 20, 2017

Area Result Normal

Values
WBC 10.7 4.0 10.0
RBC 4.69 4.5 6.7
Choosing the case is indeed a challenge
for the group. Aside from its complexity, it
is our first time to encounter such case.
However, with the available time that we
have given for this study, we know that
we have learned much more we have
than we have expected.
SUMMARY OF SIGNIFICANT FINDINGS
crackles upon auscultation
hyporeflexia on both extremities
muscle strength of 2/5
Glasgow Coma Scale of E4, V2, M6
Sacral area ulcer Stage III with measurement
of 6cm length, 5cm width, and .5 cm depth