4.Chronic kidney disease
CASE:- Chronic kidney disease CheIf complaint - A 40 year old man , is a farmer by occupation came with the complaints of Pedal edema since 3 months , along with facial puffiness , Shortness of breathe ( Grade 4) and Decreased urine output since 3 months HISTORY OF PAST ILLNESS:- Not a known case of hypertension, diabetes, asthma, epilepsy, tuberculosis. PERSONAL HISTORY:- Patient takes mixed diet, normal appetite sleep adequate(sleeps about 6-7 hours at night, wakes up early in the morning for work). Bowel and bladder habits are regular. No addictions. GENERAL EXAMINATION:- On examination: Patient is conscious, coherent Vitals- Temp: afebrile PR: 84. bpm BP: 130/70 mm hg RR: 24 cpm GRBS: 136 mg /dl SPo2 - 98% No Pallor No Icterus No signs of cyanosis, clubbing, koilonychia. Pedal edema is present . PER ABDOMEN: soft, non tender CVS: S1S2 heard RS: BAE +, NVBS+ CNS: NAD Investigations: Hb: 8.0 gm/ dl Tlc: 16,800 cells/mm3 Platelets: 4.8 lakhs/mm3 Total bilirubin: 6.9