General medicine case blog
A 65 y old male came admitted in hospital for regular daislysis .
Chief complaints:
Facial puffiness, pedal odema,shortness of breath
History of presenting illness:-
Patient was apparently asymptomatic 2 yrs back
The he suddenly developed fever,generalised weakness for which he visited local hospital.
After examination and investigations done
Patient was diagnosed with hypertension and renal failure and was referred to another hospital in Hyderabad.
There he was treated with medications and patient was almost normal for an year and continued his daily activities.
After 1 yr patient stopped his medication and started consuming alcohol and toddy.
Then he developed symptoms of fever,severe facial oedema ,pedal oedema ,hypertension,shortness of breath,cough,oliguria,loss of appetite.
Now he again revisited the hospital in Hyderabad after examination and investigations he was diagnosed with complete renal failure and suggested to get 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 is done for 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:
Decreased appetite, mixed diet, regular bowel movements, decreased urine output, adequate sleep, no smoking, daily consumption of toddy and alcohol.
Vitals:
BP: 140/90 mm Hg
Pulse: 80 bpm
Afebrile temperature
General examination:
Pallor: present
Icterus: absent
No clubbing
No lymphadenopathy
Pitting oedema is seen
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