1601006137 SHORT CASE
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FINAL MBBS SHORT CASE
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A 52 year old male farmer by occupation presented to the opd with chief complaints 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.
Abdomen examination : no hepatomegaly or splenomegaly.
No positive findings found other than edema.
Investigations :
RFT
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