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Chief Complaints:
A 60 years old female patient resident of suryapet,farmer by occupation ,complaints of back pain, stomach pain and swelling of legs since 1year
History of Present Illness:
Patient was apparently asymptomatic 1year back then she developed loin pain
H/o pedal edema which is of pitting type
No h/o fever, burning micturition
History of Past illness:
H/o hypertension since 2months
No h/o DM,Asthma, epilepsy,CAD
Personal History:
Married
Appetite:normal
Diet:mixed
Bowel movement: regular
Micturition-normal
Family History:
No known family history
General Examination:
Vitals:
Temp: afibrile
Respiratory rate:14cycles/min
Pulse:80bpm
Blood pressure:140/80mmh
Sp O2 :97%
Systemic Examination:
Cardiovascular Examination:
Thrills:no
Cardiac sounds:S1,S2 heard
Cardiac murmurs:no
Respiratory system:
Dyspnea: no
Wheeze: no
Position of trachea: central
Breath sounds: vesicular
Adventitious sounds: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:no
Central Nervous system:
Pt is conscious
Speech: normal
Signs of meningitis:no
Cranial nerves:normal
Motor and sensory system: normal
Provisional Daignosis:
CKD on MHD
Investigation:
Treatment:
Tab LASIX 40mg PO/OD
Tab nicardin 10mg PO/TID
Tab OROFER XT PO/OD
Tab NODOSIS 300mg PO/BD
Tab SHELCAL 500mg PO/OD
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