A patient with CKD on MHD.

This is 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 patients clinical problems with collective current best evidence based inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome.

A 35 yr male patient came to the hospital with the complaint of pedal oedema ,Sob and decreased urine output from past 3 days.

History of present illness:
He was the known case of CKD on MHD.Patient was apparently asymptomatic 3 years ago.Then he developed pain in loin region for which he went to private hospital in Mumbai.He was kept on first dialysis on  3rd of November 2021


Past history:
He was K/C/O hypertension since 3 years on Nicardia of 20 mg /Bd and diabetic since 2 years on insulin on   Atropid / Tid.

Personal history:

no loss of appetite

 Diet- mixed

Bowel movements-Regular 

Addictions-nil

Family history:

 No h/o similar complaints in the family

General examination:

Patient is C/C/C.
    
Pallor:yes

Icterus:no

Cyanosis:no

Clubbing of fingers/toes:no

Lymphadenopathy:no

Oedema of feet:yes

VITALS:

Temp:98.4 °F

Pulse:84 / min

Respiration rate:18/min

Bp:140/90

Sugar:148 mg /dl 

Spo2:98%


SYSTEMIC EXAMINATION:

CVS

-Thrills : No

Cardiac sounds:S1 S2 heard and no murmurs

Rs:Bilateral air entry  : + with no added sounds

Per abdomen 

Soft,no tender,no evidence of organomegaly 

CNS:

No focal neurological deficits

Provisional diagnosis:

CKD on MHD

Investigations:

Blood sugar:


Serum creatinine:
CBP:

Heamogram:


CUE:

RFT:

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