57/M with HTN since 4 months
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A 57 year old male patient with bilateral pedal edema
57 year old male farmer by occupation
Came with complaints of fever since 3 days
Patient was apparently asymptomatic 4 months back then he developed:
Bilateral pedal edema, pitting type, insidious in onset, gradually progressive from ankle to below knee
H/o dcreased urine output
No h/o palpitations or burning micturition or chest pain.
C/o B/L knee pain since 4 months
Patient went to the outside hospital were renal function tests were done and he was found to have raised urea and creatinine levels
Patient was taken for dialysis (total of 4 dialysis were done), last session 10/12/21
He was diagnosed with hypertension at the same time and is on regular medication(Tab. NICARDIA 10MG)
Patient came to our hospital for dialysis and central line placement was tried but failed and hence patient was put on conservative management.
H/o HTN since 4 months
N/K/C/O DM, TB, BA, Epilepsy
Appetite- normal
Bladder and bowel movements- regular
Patient takes alcohol (180ml 2-3 times/week)
Smokes beedi (2-3/day)
History of NSAID's abuse (takes tablets when he has knee joint pains)
O/E- pt is c/c/c
Bp- 130/80mmhg
Pr- 78 BPM
RR- 17cpm
CVS- S1 S2 heard
RS- BAE (+)
P/A soft, non tender
CNS- NFND
