S.Rakesh kumar roll.no.153

A 53 year old female patient came to opd with chief complaint shortness    of breath since 3days .decreased urine output.    History of present illness:patient was apparently asymptomatic 10 months back.Then she developed SOB.She is brought to hospital found PH,raised creatine ,urea levels. which is Diagnosed as kidney failure.Then she underwent dialysis for every 2-3 times a week.she had two times blood transfusion  .Three days back she developed shortness of breath and decreased urinary output. PAST HISTORY: There was a history of HTN,NO H/O DM,ASTHMA ,TB,EPILEPSY. Personal history: Appetite normal Diet:mixed Bowel movements:regular BLADDER:Decrease urinary output No allergies No addiction Family history: No significant family history General examination Patient was consious,coherent,and cooperative,well oriented with time and place. Bp:150/90 Temperature:98F Pulse:86 Pallor:present Icterus:absent Clubbing:absent Cyanosis:absent Lymphadenopathy:absent Oedema:bilateral pedal oedema wh

  70 year old F    C/o Generalized body swelling since 1 month. Distension of abdomen since 1 month  SOB on exertion since 1 month HOPI Patient was apparently asymptomatic 6 years back, then one day after having her food while walking to wash her hands she suddenly felt giddiness and fell down following which she was taken to near by RMP and referred to higher centre there, she was diagnosed to have  right femur fracture and Denovo HTN . Then she was taken to near by quack and pop cast was applied for right leg following which she had recovery.  She used  anti hypertensives for 1 month then stopped, now since 1 month she developed generalized body swelling which is pitting type associated with distension of abdomen and SOB on exertion and loss of appetite. No h/o chest pain, giddiness, palpitations PAST HISTORY:  Not known case of DM,CKD,CVA,CAD TREATMENT HISTORY:  Hypertensive(not on medication) PERSONAL HISTORY:  Appetite -  Lost  Diet - Non vegetarian Bladder and bowel movements - R