61y old CRF

-
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


Comments

Post a Comment

Popular posts from this blog

44 YEAR OLD WITH SHORTNESS OF BREATH

-
Image
A 44 year old male patient it came to casualty with  C/o shortness of breath (grade II) according to NYHA classification Not associated with orthopnea/PND. C/o B/L PEDAL EDEMA ( pitting type ) since 1 week  C/o decreased URINE OUTPUT since 1 week C/o FACIAL PUFFINESS since 1 week  Pt was apparently asymptomatic 1 week back then developed fever associated with chills and rigor, was diagnosed with typhoid and was treated outside in a private hospital  Pt also C/o loss of appetite, and 2 episodes of vomiting ( non bilious , non projectile ) not A/W nausea. Pt is a K/C/O  -CKD since 10 years on regular medication  - DM since 4-5 years  (on GLIMI M2 morning and GLIMI M1 night) -HTN since 1 year - on Tab TELMA-AM NO SIGNIFICANT FAMILY HISTORY PERSONAL HISTORY O/E- Pt is c/c/c obese , clubbing present TEMP+98.4°F BP-130/80MMHG PR-89 BPM RR- 20CPM SPO2-98% @ RA CVS-S1S2 HEARD NO MURMUR RS-NVBS + NO CRYPTS P/A-SOFT, NON TENDER CNS-HMF INTACT APEX BEAT- 6TH ICS ...
Read more

Altered sensorium secondary to Alcohol withdrawal seizures with HFrEF secondary to Beri Beri(wet)

-
Image
This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  Here, we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. A 32 yr old male, paint shop worker, came to casuality with  Unresponsiveness since 2-3 hours with passing urine  in clothes after involuntary movements.         Chronic alcoholic since the time of marriage(10yrs), quantity ~ 1  full bottle / day (exact quantity unknown), had a binge consumption of alcohol since yesterday morning, with no intake of food.           Pt was alone at home this           morning; after consumption of alcohol, alleged history of fall, associated with  1 episode of GTCS & feothing, tongue bit...
Read more

MITRAL STENOSIS by PAWAN BHASIN Roll no. 124

-
Image
This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  Here, we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. May 28, 2020               CASE OF A 55 YEAR OLD FEMALE WITH HEART FAILURE       Written by : PAWANBHASIN  Final MBBS- IV part II  Roll number : 124   Given case data available at this link :         https://himabindu5.blogspot.com/2020/05/hello-everyone.html According to the data provided to me, the analysis made by me is as follows: Age : 55 years , Sex - female, Occupation - agricultural labourer(works in paddy fields) Chief complaints : Patient came with the chief complaint of : Shortness of breath(since 3 months)...
Read more