a 62 years male with kidney failure
December 28 2022,
NAME: Himabindhu
Roll no. 47
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CASE PRESENTATION: A 62 years old male patient came to opd with chief complaints of nausea and vomiting since 3 days. Patient also complaints of both legs swelling, decreased urine output.
HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 10 years ago, he went to hospital for fatigue, blurred vision, shortness of breath and was diagnosed with hypertension and 4 years back with diabetes for which he was using medication.few days back he had consulted near by hospital for lower back ache and pedal edema since 2 months, irregular Micturition since 15 days and fatigability since 10 days. He was diagnosed to have bilateral renal parenchymal disease(renal failure). For which he was advised to take dialysis. The patient was anemic. Also feels nausea and vomiting since 3 days.
HISTORY OF PAST ILLNESS : No history of cough ,vomiting, shortness of breath
No history of smiliar complaints in past.
Diabetes since 4 years, hypertension since 10 years, no history of epilepsy, tuberculosis, bronchial asthma, CAD.
PERSONAL HISTORY :
Marital status :married
Appetite: normal
Diet : mixed
Bowel and bladder habits: regular
Sleep: adequate
Addictions :occasional alcoholic
Smoking: daily smoker
No known allergies
FAMILY HISTORY:
Their is no significant family history.
GENERAL EXAMINATION:
Conscious, coherent, co-operative
Moderately built,nourished.
PALLOR: PRESENT
ICTERUS:ABSENT
CYANOSIS: ABSENT
CLUBBING OF FINGERS/TOES: ABSENT
LYMPHADENOPATHY: ABSENT
PEDAL EDEMA: PRESENT.
VITALS:
TEMPERATURE: 98.2 F
PULSE RATE: 86 bpm
BLOOD PRESSURE: 140 /90 mm of hg
RESPIRATION RATE: 16/min
PROVISIONAL DIAGNOSIS: diabetic nephropathy.
