A 72 yr old female with CKD and Hypertension.
A 72yr old female with chronic kidney disease and HTN
Complaints of shortness of birth since 20days;
vomitings since 20days ,intermittent type
Bilateral pedal edema,facial puffiness and burning micturation(intermittent) since 20days.
Loose stools since 20days associated with Tenesmus.
Patient was apparently asymptomatic 5years back, then developed pain in the bilateral knee joints with low backache, patient went to the local doctor, where she was diagnosed with Hypothyroidism and was using medication 25microgram of Levothyroxine sodium and patient was normal upto the 2years. After the expiry of her husband , patient started developing facial puffiness with bilateral pedal edema which aggravated on sitting posture , then patient visited local doctor where her creatinine was found to be 3 and also diagnosed with HTN & treated conservatively upyo 1year. Later because of personal reasons she started visiting NIMS , where she was on medical treatment for 2years and stopped using those medication from March (during lockdown). Since past 20 days she started developing pedal edema associated with facial puffiness, shortness of breath, vomitings which was intermittent, non projectile, non blood tinged and also
loose stools since 20days associated with Tenesmus. Then she came to KIMS for further evaluation.
PAST HISTORY:
K/c/o Hypothyroidism since and on medication Thyronom 50mcg.
HTN since 3years and using METXL 50mg
No h/o DM, Asthma, Epilepsy, CAD.
PERSONAL HISTORY:
Mixed diet, Appetite normal, Non alcoholic and non smokers.
No addictions
GENERAL EXAMINATION:
Patient was consious, coherent, cooperative;oriented to time,place,person.
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