A 69 Yr old male came to hospital for regular dialysis

This is an e-log depicting patient's de identified data centred approach for learning medicine. This log has been taken after taking concert from patient and his family.  Here we discuss about patient's problems with a series of inputs with an aim to solve 

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
icterus-absent
No lymphadenopathy 
No clubbing 
Pitting edema seen
Diagnosis-
Chronic kidney disease on regular dialysis 


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