
Suggest Treatment For Lethargy And Kidney Problems

Any suggestions?
Immunologic kidney injury.
Detailed Answer:
Hi Madam
I have carefully read your query and understand your concern.
The main crux in your health issue is low eGFR.This revolves around kidney shutdown secondary to renal stones complicated with superimposed urinary tract infection reflected as high neutrophils,high lipase and vomiting sensation.
Acute kidney injury ,more appropriately called is also associated with serum electrolyte disturbances like low magnesium.
This kidney injury in your case has additional component of immunologic injury manifested in the form of elevated CH 50 and low MPV.
The migratory rash is could be due to low platelet count manifesting as minor skin bleeds,associated with itching due to immunologic component.
I advise to have complete autoimmune antibody panel with a renal biopsy to accurately document the disease component and pave way for accurate treatment guidelines.
Post your further queries,if any,
Thank you

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