blog
Date 19/12/22
58year Old Male Patient With CKD On MHD
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 WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT
CHEIF COMPLAINTS:-
Patient came with c/o pedal edema since 10 days
Not associated with shortness of breath
HISTORY OF PRESENT ILLNESS:-
Patient was apparently asymptomatic 10 days back, then developed pedal edema (pitting type) upto ankle.
Not associated with shortness of breath or facial puffiness.
Last Dialysis session-5/04/2022.
No H/O Palpitations,blurring of vision.
HISTORY OF PAST ILLNESS:-
No K/c/o Hypertension, Diabetes mellitus,
epilepsy, TB,cerebrovascular accident, coronary artery disease
PERSONAL HISTORY :-
Married
Occupation-Farmer
Appetite-normal
Diet- non vegetarian
Bowels- regular
Micturition- normal
No known allergies
Habits/Addictions-smoking since 7years
FAMILY HISTORY:-
No significant family history
PHYSICAL EXAMINATION:-
•GENERAL EXAMINATION
No pallor,cyanosis, lymphadenopathy, icterus, clubbing of fingers or toes.
No malnutrition, dehydration.
VITALS
Temp- 98.1°C/F
Pulse rate-88/ min
BP-140/90 mm/Hg
Spo2-98%
•SYSTEMIC EXAMINATION
a)CVS- normal
b) Respiratory system-BAE Positive
c)Abdomen- soft,non tender ,
Liver,spleen - not palpable
Bowel sounds- yes
d)CNS- Patient is concious ,
- Speech is normal,
- No signs of meningeal irritation like neck Stiffness, kerning's sign.
- Cranial nerves, motor system, sensory system are normal .
e) Cerebral signs
Finger- Nose in-coordination;knee-Heel in- coordination - yes
