55F Patient came to opd with c/o 1. Fever since 3 weeks 2. Cough since 3 weeks Patient was apparently asymptomatic 3 months back then she developed fever, insidious, progressive, no diurnal variation, low grade not associated with chills and rigors. C/o cough - dry, not associated with sputum, more during the nights and increased in supine position. No case of burning micturition, decreased urine output. H/o polyuria and nocturia C/o decreased appetite No C/o SoB/ palpitations/ chest pain/ orthopnea Past History:- K/C/O HTN since 6 yrs, and is on unknown regular medication K/C/O DM2 since 4 yrs, and is on Tab. Voglibose 0.2mg PO/BD Personal History: Appetite- Normal Diet- Mixed Sleep- Adequate Bladder and Bowel movement- Regular Addictions - none Family History: not significant GENERAL EXAMINATION:- The patient was examined in well lit room after taking her consent. The patient was conscious, coherent and co operative. She is well oriented to time, place and person
A 50Y M Came with C/o Pedal Edema since 1 week HOPI:- Patient was apparently asymptomatic 1 Year back then he developed back pain for which he went to local hospital and diagnosed to have CKD. He was on Conservative management, 3 months back he had Pedal edema and started on hemodialysis since May 25 which was his last follow up. Pedal edema is present Blood transfusion of PRBC done on 02/09/23 Dialysis was done on:- 21/8/2023 24/8/2023 30/8/2023 02/9/2023 04/9/2023 23/9/2023 27/9/2023 30/9/2023 02/10/2023 07/10/2023 Past History: K/C/O CKD since March 2023 K/C/O DM2 since 4 years on Insulin ( Irregular Medication) K/C/O HTN, CVA, CAD, Epilepsy Surgical history:- 4 years back 2nd right toe amputation done (Diabetic) In March RIGHT IJV was placed and removed in May. On Examination:- Patient was conscious, coherent and cooperative No signs of Pallor, Icterus, Cyanosis, Clubbing, Lymphadenopathy Vitals:- Temp- 98.4F PR- 96 BPM RR- 18 CPM