60 year old male with CKD

December 22, 2022

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Complaints:

1) Pedal edema since 2 years

2) Decreased urine output since 1 month

3) Shortness of breath since 1 month

4) Burning micturition since 1 month.

History of present illness :

Patient was farmer by occupation, developed decreased hearing sensation 15years back, in the both ears along with discharge and consulted ent , he was advised surgery but the patient refused and continued his work.

10years back, Patient had Generalized weakness and body pains for which he went to the hospital and found to be diabetic.and stopped smoking.He was on regular medication given by the Government.

4 years back , patient developed knee joint pains ,for which he went to the hospital, where he was given medication for pain relief, but patient used this medication for 2 years.

Since 2 years, patient developed Pedal edema which was gradual onset , progressive , patient visited hospital where his renal parameters were deranged and started on conservative management for CKD.(creatinine-3.0)

Since 1 month patient developed Shortness of breath on exertion associated with decreased appetite and burning micturition.

He was started on hemodialysis on 21/12/22.

In view of deranged renal parameters.