CKD

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A 55 years old male patient came to op with cheif complaints of.   Pedal edema since 5 to 6months and burning micturation since 2 days

History of present illness:

Patient was apparently asymptomatic 6months back then developed pedal edema and went to hospital and then diagnosed with CKD and 3 dialysis completed till now and then since 2 days he complaints of burning micturation

Past history:

Hypertension since 20 yrs and on medication

Nicardia 10mg

Family history :

No significant family history

Drug history: 

No allergies to known drugs

Personal history:

Married

Occupation : daily wage worker

Appetite : normal

Diet :mixed

Micturation: normal

Bowels: regular

Addictions :no 

General examination:

Patient is conscious, coperative coherent and well oriented to time place and person

No pallor 

No cyanosis

No generalized lymphadenopathy

No icterus

Bilateral pedal edema is present.

VITALS :

Temp: afebrile

Resp rate : 23/min

Pulse rate : 86/min

Bp : 130/80 mm of Hg

GRBS : 124mg%

Systemic examination:

CVS  : 

No thrills

No murmurs

Cardiac sounds : S1&S2+

RESPIRATORY:

Position of trachea : central

No dyspnea

No wheeze

Vesicular breath sounds

ABDOMEN:

Shape of the abdomen : scaphoid

No tenderness

No palpable mass

No organomegaly

Nobruits no free fluid

PROVISIONAL DIAGNOSIS:

CKD

Investigations:

Complete blood picture

Complete urine examination

Liver function tests

Renal function tests

Ultrasound 

Diagnosis:

CKD