Pranati V (roll no. 129): 58 year old male with CKD on MHD

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58 year old male, labourer by occupation, came to the OPD with the chief complaints of

Shortness of breath since 15 days, worsened 3 days back, facial puffiness since 1 week

History of Presenting illness -

Patient was apparently asymptomatic 4 years ago

4 years ago - pt complained of giddiness, went to a local hospital and was diagnosed as Hypertensive, on regular medication since then T. Nicardia 10mg, T. Arkamine 0.1mg sos

2 years back Pt developed B/L pedal edema, progressed gradually to knees, diagnosed with renal failure and initiated dialysis weekly twice

Left upper limb swelling, gradually progressing to current size, since 4 months

Swelling in the left chest region, gradually progressing to current size, since 4 months

Back pain since 2 months, subsided on medication (T. Ultracet)

7 days back - developed Facial puffiness

Shortness of breath since 7days

Grade II-III progressed to Grade IV since 15 days along with orthopnea

No c/o palpitations, giddiness, cold, cough, burning micturition

PAST HISTORY -

Known case of Hypertension since 4years on Tab nifedipine 10mg OD

Not K/C/O TB, Epilepsy, Asthma, CAD.

Personal history