55 yr OLD MALE WITH CKD on MHD
Pt came with complaints of - Pedal edema - SOB since 3 months Patient was apparently asymptomatic 8 months back , then he developed knee & ankle pain in both lower limbs , then he went to local hospital and took medication for that pain relief. He used that medication 4-5 months ,after he developed pedal edema which was pitting type & SOB , which was grade 2-3 since 3 months Past history : k/C/O HTN since 3 months Not a known case of DM ,asthma,TB , EPILEPSY Personal history : Diet - mixed Appetite - normal B&B movements - regular Family history : not significant ON EXAMINATION : Pt is C/C/C Temp : afebrile BP : 140/80 mmHg PR : 82 BPM Rs :22 CPM GRBS : 105 mg% General examination Pallor + , no icterus , Cyanosis , Clubbing , lymphadenopathy B/L Pedal edema + On systemic examination : CVS : S1S2 + RS : BAE + Per abdomen : soft non tender CNS : NAD Investigations : EC
