Suvarna

 A 28 years old male resident of miryalguda bommakal employee by occupation came to our hospital with complaints of weakness and decrease urine output on 19/6/2021 and diagnosed as AKI History Of present illness: patient was asymptomatic till april this year (2021) Patient has history of weight loss 10kgs  since one and half month and decreased apetite and the history of generalised itching  he visited global hospital where doctors told that he has renal failure Past illness: Decreased urinary output  No pedal edema  And he had shortness of breath  Currently patient has no edema and no  shortness of breath  Personal history Normal apetite Mixed diet Bowel regular Micturition normal No known allergies Patient  was occasionally alcoholic  No habit of smoking Family history: No history of diabetes No history of cancer  No history of hereditary diseases No history of heart diseases No history of TB General examination: patient is  consicous,coherent and co operative  No signs of cyanosis 

 A 55 years old patient came to hospital with chief complaint of Decreased urine output since 3 days History of present illness: Patient was  apparently asymptomatic from past 1 year On date : 20/07/2021 he had sudden onset of shortness of breath (SOB) taken to hospital treated with Oxygen supply to treat SOB . Doctors told him that elevated creatinine levels in blood and adivised him to undergo dialysis On date : 26/7/2021  Patient is being prepared for Cvp line he suffered cardiac arrest and resusciated . He had 6 cycles of dialysis from 28/07/21/ to 02/08/21 After his 6 th dialysis patient is discharged from hospital . After going to home he developed decreased urine output for which he brought to us. He is still suffering with SOB treating with oxygen supply and he is undergoing dialysis Past History:  Patient was alright till 1997 when he had fall from a current poll after which he had injury to left upper limb , left lower limb , and lower back for which he started using pain kil