Chronic Renal Failure

This is an online E-blog to discuss our patient identified health data shared after taking the consent.

Here we discuss our patient problems through series of inputs available.

I have been given this case to solve in an attempt to understand the topic of "Chronic Renal Failure" to develop my competency in reading and comprehending clinical data including history,clinical findings, investigations and come up with diagnosis and treatment plan.

61 year old Male with decreased urine output and pedal odemaHISTORY OF PRESENTING ILLNESS
 Patient was apparently asymptomatic 3 months back.Then he had a decreased urine output.He had underwent 3 dialysis 20 days back.



HISTORY OF PAST ILLNESS
 K/C/O - Diabetes Mellitus (15years)
                Diabetic foot
                 Hernia
Nota K/C/O- Asthma
                       Epilepsy
                        CVD
TREATMENT HISTORY

. Diabetes - Yes
. Hypertension- Yes
.Asthama - Yes

PERSONAL HISTORY

. Marriage status- Married
. Occupation- Farmer
. Appetite-Normal
. Non-vegetarian
.Bowel - Regular
.Micturition- Normal
 
FAMILY HISTORY
 .Diabetes
 
PHYSICAL EXAMINATION

.Pallor - present
.Pulse rate- 94/min
. Respiration-18 CPM/min
.BP -140/90
.SPO2- 98%
.GBRS-156mg%

SYSTEM EXAMINATION

.CARDIOVASCULAR SYSTEM
-S1 S2 positive

. RESPIRATORY SYSTEM
-BAE positive
. ABDOMEN
- Soft and tender
INVESTIGATION
TREATMENT
P : 
T.Lasix 40mg BD
T.OROFER XT 1 tab OD
T.NODOSIS 500mg OD
T.SELECALL CT OD
Azithromycin x 3days
Cremaffin 15ml

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A 65 year old female patient came with  Blurring of vison , Constipation and Burning Micturition. This is an online e log book to discuss our patient de identified health data shared after taking his/her guardian signature on informed consent.here we discuss our individual patient 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.this e log book also reflects my patient centered online learning portfolio and your valuable inputs on the comment box  CHIEF COMPLAINT  A 65 year old female patient Agricultural Labourer by occupation came to opd with complaint of  bluring of vision, buring of Micturition , Constipation  HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic two years back  Patient experienced blurring of vision since 2 years  Patient experienced increased sweating since 2-3 months Patient suffering constipation and passes stool
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