A 69 Yr old male came to hospital for regular dialysis
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icterus-absent
Diagnosis-
69 Yr old male came admitted in hospital for regular dialysis
Chief complaints :
Facial puffiness,pedal edema, shortness of breath
History of present illness :
Patient was apparently asymptomatic 2 yrs back,then he suddenly developed fever,generalised weakness for which he visited the local hospital .
After examination and investigations done.Patient was diagnosed with Hypertension and renal failure and referred to another hospital in Hyderabad
There he was treated with medications and patient was normal for an year and continued his daily activities .
After 1yr patient stopped medication and continued alcohol and toddy.
Then he developed symptoms of fever, severe facial edema,pedal edema,hypertension, hypertension, shortness of breath, cough,oliguria,loss of apetite.
Now he again revisited the hospital in Hyderabad, after examinations and investigations done ,he was diagnosed with the complete renal failure and suggested to get the dialysis done
Patient came to narketpally and admitted here and have been undergoing dialysis since 8 months
Initially dialysis was done weekly once ,now dialysis wass done every 2 days
Past History
Not a known case of asthma,diabetes,tuberculosis, Epilepsy
He underwent hernia surgery 10 years back
Family History
No significant family history
Personal History
Apetite - Decreased
Diet-mixed
Bowel movements-Regular
Decreased urine output
Sleep - Adequate
No smoking
Daily consumption of toddy and alcohol
Vitals
BP-140/90 mmHg
Pulse-80bpm
Afebrile temperature
General Examination:
Pallor present
No lymphadenopathy
No clubbing
Pitting edema seen
Chronic kidney disease on regular dialysis
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