general medicine

  This is an online E-blog to discuss our patient identified health data shared after taking the consent.



Here we discuss our patient problems through series of inputs available.

History of Present Illness:

A 46 year old female patient came to hospital for dialysis

Patient was apparently asymptomatic 5yrs ago when she underwent surgery for Right eye.This surgery wasn't successfull and the patient was on continuous pain since then.
The patient then went for regular checkup 1 and 1/2 year ago was found out serum creatinine to be 6.0 and was on medication since 
on jan 18th 2022 , the patient has severe shortness of breath (even at rest) and admitted at a local hospital , following serum creatinine was found to be 14.0 .So a fumoral line was placed for dialysis. she underwent dialysis for 4 times following the vein got clotted and it led to swelling of lower limb(left) and there was discolouration
later she underwent 12 sessions of dialysis till now in various hospitals

History of Past illness
o/e pallor(+)
pedal edema(+)(left>>right)
no H/O vomitings
no H/O headache

DM- Since 15 years,on Inj HAI:6 years
HTN- Since 20 years , on tab metoprolol

Vitals:
Temp:98.6F
PR: 96/min
RR:18/min no
BP:180/80 mmHg
CVS: S1S2+
CNS:Intact
P/A: Soft, Non Tender
 
IMAGES:



 DIAGNOSIS: 
chronic kidney disease CKD




Treatment:
1) Fluid Restriction C/5L/day 
Salt Restriction C2g/Day
2)Tab Sheleal 500mg OD
3) Tab Nodobis 500mg  BD
4)Tab orofer XT OD
5)Tab Bio D3 OD
6) Tab Lasix 40mg BD
7)Tab  Pantap 40mg OD
8)Tab Nicardua 20mg BD
9) Tab Prythropoetin 40mg OD
10) Inj Iron Surcose 100mg Weekly once in 100ml NS
11) Inj HA1 S/c Acc and  GRBS TID
12) Monitor VItals

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