60 year old male with bilateral pedal edema.

NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.


Cheif complaints  

Patient came with the cheif complaints of Pedal edema since 5 months , shortness of breath since 6 days.


HOPI:

The patient was apparently asymptomatic 5months back then he developed pedal edema in bilateral lower limbs upto ankle pitting in nature since 6 days back.SOB Increased and developed to grade 4.


Past history 

Patient is conscious, coherent, and cooperative.

No K/c/o DM , asthma, HTN, TB, Epilepsy.


Family history:

Not significant 


GENERAL EXAMINATION:

Patient is  conscious,coherent, co operative 

Oriented to time ,Place, Person 

VITALS :

BP: 120/80 mm hg

PR: 100 bpm

RR: 18cpm 

Cvs: S1,S2 heard

CNS : NAD

P/A: non tender and soft


Investigations:


SERUM IRON


                           LFT
Ultra sound kidney


Ecg


HEMOGRAM


RFT



Diagnosis

Chronic kidney disease


Medications:

Inj LASIX  BD IV

T. NICARDIA 10mg PO/ BD

T. OROFER XT PO/OD

T. PAN 40mg. PO/OD

T.BIO D3 PO/OD

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