28 years old male patient with weakness and decreased urine output
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
No lymphadenopathy
No clubbing
No icterus
Vitals:
Temperature-Afebrile
Pulse rate-92bpm
Bp-140/90
Respiratory rate-normal
Systemic examination :
Cvs-
No thrills
S1 S2 cardiac sounds heard
Respiratory system:No dyspnea
No wheezing
Position of trachea:central
Abdomen: distended soft and non tender
Bowel sounds heard
No palpable mass
No free fluid
CNS:
Patient is conscious
Normal speech
No signs of meningeal irritation
Sensory and motor reflexes are imtact
Provisionla diagnosis:
CKD on MHD
INVESTIGATIONS
Treatment
T.LASix 20mgPO/BD
T. NICARDIA -RETARD 20mg/PO/BD
T. NODOSIS 500mg/PO/TID
T. OROFER - XT/PO/BD
T.SHELCAL 500mg/PO/OD
T.ALPHA D3 0.25mg/PO/OD
INJ. ERYTHROPOIETIN -4000IU
S/C WEEKLY ONCE
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