74 year old female with CKD
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CHEIF COMPLAINS
A 74-year-old female patient came to the OPD with the chief complaints of SOB and pedal edema since one day
HOPI
Patient was apparently asymptomatic two months back then she developed grade 4 SOB and pitting type of pedal edema for which she went to the hospital where she was diagnosed with kidney problem and was asked to start dialysis
She was admitted to us on 17/7/2022 and she Received five sessions of dialysis
Last session on 27/7/22
PAST HISTORY
Known case of DM since one year and CAD since 6 months
VITALS
temperature: afebrile
pulse rate:102bpm
RR:25/ min
BP:160/90
Spo2:83%
GRBS:117mg%
SYSTEMIC EXAMINATION
CVS:S1S2 heard
Jvp not raised
No murmurs heard
RESPIRATORY:grade 4 dyspnea
B/L inspiration crepets
ABDOMEN: Normal
PROVISIONAL DIAGNOSIS
CKD on MHD
DM
FLUID OVERLOAD secondary to heart failure / Renal failure ..HFmEF ( EF -45%)
INVESTIGATIONS
TREATMENT
14/8/22
-fluid and salt restriction
-INJ lasix 80 mg IV/STAT—40 mgIV/BD(if BP>110 mm of hg)
-TAB NODOSIS 500 mg PO/BD
-TAB SHELCAL 500 mg PO/BD
INJ lasix 80 mg IV/STAT
-TAB NODOSIS 500 mg PO/BD
-TAB SHELCAL 500 mg PO/BD
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