A 30 YEAR OLD FEMALE.

​  A 30 year old female came to hospital with

CHEF COMPLAINTS OF:

Facial puffiness ,pedal edema since 3months.

&Sob since 2days.

HISTORY OF PRESENT ILLNESS:

Patient was asymptomatic 3months back then she

developed facial puffiness and bilateral leg swelling

pitting type

PAST HISTORY:

Known clinical history of -chronic renal failure &

hypertension.

TREATMENT HISTORY:

Using antihypertensive medications since 4yrs.

FAMILY HISTORY: mother also have hypertension.

PERSONAL HISTORY:

-Married, house wife

Appetite-normal ,sleep: inadequate

Diet: veg

Bowel and bladder: normal

Known allergies:no

GENERAL EXAMINATION:

Patient is conscious, coherent, cooperative.

-pallor on hands

No icterus

No clubbing, cyanosis

Edema of both legs.

VITALS:

Temp-98.3c/f

BP-110/80mm/hg

PR-92bpm

SP02-98%

GRBS-104mg%

CVS:

-SIS2 HEARD

RESPIRATORY SYSTEM:

-BAE

PROVISIONAL DIAGNOSIS:

CHRONIC KIDNEY DISEASE

Plan of care: hemodialysis

INVESTIGATIONS:











TREATMENT:

Inj-epo 4000i.v s/c weekly

Tab:Lasix 40mg po/BD

Tab:nicardia 20mg po/tid

Tab:orofer po/bd

Tab:nodosis 500mg po/tid

Tab:PANTOP 40mg po/od

Tab:shelcal po/op

Tab :arkamine 0.1mg po/bd


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