FINAL EXAM SHORT CASE
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1601006193 SHORT case:-
A 52 year old male farmer my occupation presented to the opd with chief complaint of
- Bilateral swelling in lower limbs since 3 days
He had similar complaints in the past for which he went to a local hospital and was advised on taking salt and water restricted diet.
Patient on telmesartan for hypertension since 2 years.
He is a chronic alcoholic and smoker.
Examination :
Bilateral pedal edema pitting type found till knee on general examination.
Respiratory system : Bilateral air entry present and normal vesicular breath sounds heard.
CVS examination : No thrills, s1 s2 heard, no murmurs.Apex beat heard in 5th intercoastal space lateral to midclavicular line
Abdomen examination : no hepatomegaly or splenomegaly.
No positive findings found other than edema.
Investigations :
RFT
Hemogram
LFT
PROVISIONAL DIAGNOSIS :
Chronic renal failure
TREATMENT :
Salt and fluid restriction (<1gm/day <1 lit/day)
Inj. Lasix 40mg
Tab. Nicardia
Tab. Orofer
Inj. Erythropoietin
Tab. Shelcal
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