Short case 1
Short case 1:
A 70 year old Paddy farmer, came to OPD with c/o B/L pedal edema and shortness of breath since 6 months
Pt was apparently asymptomatic 6 months back, then developed B/L pitting type of pedal edema upto thighs, facial puffiness, anasarca. Then he went to a private hospital in Hyderabad, during routine investigations was told to have elevated creatine levels and was told to undergo dialysis
Pt then came to KIMS, NKP for further management.
Pt has lost his livelihood since the last 6 months because he's been unable to work. He's survived by his wife and his son who lives elsewhere. He also has two daughters but they don't live with him.
C/o B/L hip pain since 6 months
No c/o decreased output of urine
No h/o Fever, cough, cold
In KIMS, KNO, pt underwent 10 sessions of dialysis
1st-8/12
2nd-11/12
3rd-15/12
4th-22/12
5th-27/12
6th-31/12
7th-8/1
8th-17/1
9th-22/1
10th-26/1
Patient is a k/c/o Hypertension and DM since 20 years, on regular medication.
Started on insulin 4months back, twice a day, 10-20 units of insulin
Not a k/c/o TB, Asthma, Epilepsy
Operated for inguinal hernia 4 years back
H/o Burn 6 years back
Vitals:
Temp- 98.6F
BP- 140/80 mmhg
PR- 86 bpm
RR- 17 cpm
Spo2- 99% at RA
General Examination:
Patient is conscious/coherent/cooperative
Moderately built and well nourished
Pallor +
Icterus -
Cyanosis -
Koilonychia -
Lymphadenopathy-
Pedal edema + upto ankle
CVS- S1 S2 + No murmurs
RS- BAE+ No added sounds
P/A- Soft, Non tender
CNS : NAD
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