2.Chronic Liver Failure ( ESRD)
GM Case history -2 August 23rd Date of admission - 22-01- 2021 A 22y- old - woman presented with blurry vision . History of Present illness The patient was apparently asymptomatic 8months back ,then she had blurry vision for a week and Hypertensive ( BP 220/70mm Hg) .Consulted to an Opthomologist , found a clot in the eye , suggested a complete body scan . History of Past illnes - No history of Weight loss. Not a known case of HTN, CAD, Asthma, TB, Epilepsy, Thyroid disorders. No history of surgeries and blood transfusions in the past. Personal History No history of consumption of alcohol. History of low /minimum intake of water . FAMILY HISTORY - No history of DM, hypertension, CVA, CAD, Asthma, Renal disorders. Thyroid disorders in the family. GENERAL EXAMINATION - Patient is conscious, coherent, co-operative. There is no icterus. No pallor ,cyanosis, clubbing, koilonychia or lymphadenopathy. VITALS - Temperature- 98.6 F Pulse rate- 98 bpm Respiratory Ra