GM case 9
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A 27 year old male who is student from nalgonda came to the opd with chief complaints of pedal edema since 2years .
He also had vomiting and decreased urine output since 1mon
History of present illness:
Patient was apparently asymptomatic 2yrs back then he developed persistent vomiting for about 2mon ,then he noticed bilateral pedal edema of pitting type which is insidious in onset ,for which he visited to local hospital and got to be told have some kidney issue and received medication and got relieved for some period of time.
After 1month he again developed vomiting and bilateral pedal edema of pitting type, decreased urine output .
Past history:
Since 2yrs he is on dialysis twice a week .
Patient was diagnosed with tuberculosis 6 months back.
He has hypertension since 2 years.
No history of bronchial asthma,epilepsy.
No history of diabetes.
No history of previous surgeries.
Personal history:
Diet:mixed
Appetite Normal
Sleep decreased
Bowel movement are regular
Bladder:Decreased urine output
No addiction
Family history:
No similar complaints in the family.
Drug history:
No allergy to known drugs.
General examination:
Patient is conscious,coherent, cooperative.
pallor was present
No cyanosis
No lymphadenopathy
No clubbing
No icterus
No edema
No tremors
Bilateral pedal edema was present.
Vitals:
Temperature:afebrile
BP:140/90mmHg
Pulse:92/min
Respiratory rate:24/min
Systemic examination:-
Cvs
S1 and s2 are heard .
Respiratory system
No dyspnoea
Position of trachea central .
Abdomen:
Shape of abdomen-scaphoid
CNS
Patient is conscious
Speech is normal
Provisional diagnosis:
Ckd on mhd
Investigations:
Treatment:
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