61y old CRF

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A 61 y old patient who was a tailor by occupation later owns an emporium 
Came with complaints of 
Sob since 15 days
Pedal edema since 15 days
K/c/o diabetes mellitus since 30yrs
 (inj. HAI 8U-8U-6U)
K/c/o HTN since 30 yrs on nicardia 20 mg OD
No significant family history
He is married with normal appetite ,non vegetarian, bowel- regular , decreased micturation ,  no known allergies ,  
Addictions- 
O/E pt is c/c/c moderate in build and well nourished
Pallor- present
Edema of feet - present
Temp- afebrile
Bp-140/90 mmhg
PR-84bpm
RR- 26cpm
Spo2-97 at RA
CVS -s1s2 heard , no murmurs
RS- BAE +
Abdomen - soft and non tender
CNS- NAD

PROVISIONAL DIAGNOSIS
Chronic renal failure on MHD 
hypertensive since 30 yrs, dm - since 30 yrs


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