A 55 years old male c/o pedal edema, burning micturition

This is an online E log book 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 series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box.

Chief Complaints:
C/o pedal edema since 5-6months
C/o burning micturition since 2days

History of Present Illness:
Patient is apparently asymptomatic 6 months ago then he developed CKD with pedal edema 3hemodialysis is done till now, burning micturition since 2days(after foleys insertion)

History of Past illness:
H/o Hypertension since 20yrs (on regular medication)
No h/o DM,asthma, epilepsy, TB, CAD, cervical lymphadenopathy

Personal History:
Married
Diet: mixed
Occupation: daily wage labour
Bowel movements: regular
No drug allergy
Addiction: no

Family History:
No h/o DM, asthma,TB, CAD, cervical lymphadenopathy in family members

General Examination:
Vitals:
Temp: Afibrile
Respiratory rate:23bpm
Pulse:86bpm
Blood pressure:130/80mmhg
Sp O2:96%

Systemic Examination:

-Cardiovascular Examination:
Thrills:no 
Cardiac sounds:S1,S2 sounds
Cardiac murmurs:no

-Respiratory system:
Position of trachea: central
Breath sounds: Vesicular
Adventitious sounds:no
Dysponea:no
Wheeze:no

-Abdomen:
Shape of abdomen: Scaphoid
Tenderness:no
Palpable mass:no
Henias orifices:normal
Free fluid:no
Bruits:no
 
-Liver:not palpable
-Spleen:not palpable
-Bowel sounds:yes

-Central Nervous system:
 Pt is conscious
Speech: normal
Signs of meningitis:no
Cranial nerves: normal
Motor and sensory system:normal

-Provisional Diagnosis:
    CKD ON MHD
-Investigation:
     Ultra sound:-
-Treatment:
Tab.NICARDIA 10mg PO BD
Tab.NODOSIS 500mg PO BD
Tab.LASIX 40mg PO BD
Tab.OROFEX PO OD
Tab.SHELCAL PO OD
 Inj.ERYTHROPOITEIN 4000 IV Weekly once

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