Case of 45 years female with lower back pain and bipedal edemA
Patient was apparently alright 1 year back when then she developed lower back pain which is raidating.
It reduces on taking medcines for one hour and pain develops again
History of present illness: bipedal edema
and facial puffiness
History of past illness:
Known case of Hypertension
No history of surgeries
No asthma
No EPILEPSY
Personal history:
Apetite lost
Mixed diet
Regular bowel
Abnormal micturition
Occasional alcoholic
She has Habit of smoking
Family history:No history of complaints in
the family
Treatment history:No history of drug
allergies
On general physical examination: patient is
conscious coherent and cooperative
No cyanosis
Pallor present
No lymphadenopathy
No icterus
No clubbing
Bi pedal edema -present
Vitals:
Temp:98
RR:18/min
PR:99/min
Bp:120/80
Systemic examination:
Cardiovascular system:
No murmurs
No thrills
S1 s2 sounds heard
Respiratory system
No dyspnea
No wheeze
Position of trachea-central
Abdomen:
Shape of abdomen-obese
No tenderness
No palpABle mass
Irreducible indirect lingual hernia
CNS system:
Conscious
Speech normal
Reflex normal
Provisional diagnosis:
Chronic kidney disease
Investigations:
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