CKD case of 60 year old male patient

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60 year old male, farmer by occupation, came to Medicine OPD with complaints of :

Chief complaints

Facial puffiness from 10 days, shortness of breath from 10 days and bilateral pedal deems from 10 days

History of present illness

Patient was apparently asymptomatic 6 months back, then he developed pain in lower back for which he took NSAIDS daily and was not having any complaints , but from last 10 days he developed facial puffiness ,shortness of breath and bilateral pedal oedema

associated burning Micturition and abdominal distension

Past history:- diagnosed with hypertension one month back, not a know case of diabetes mellitus,asthma, tb, epilepsy

Examination findings:-

Bilateral pedal edema, pallor .