60 year old male with ckd

 

CKD case of 60 year old male patient 

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box"

 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 . 










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