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Showing posts from February, 2022

CKD

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 A 48 year old male, R/O mothkur, labourer by occupation came to OPD  C/o :  generalised swelling of the body since 20 days Chest pain since 10 days Sequence of events :  30 December 2021 :  Swelling of hands, feet and face  Shortness of breath at rest  Urine - fast stream, followed by dribbling  19 January 2022 :  Chest pain,  Shortness of breath at rest  Swelling of hands, feet and face  26 January 2022 :  Altered sensorium  Difficulty in speech Hopi :  Patient was apparently asymptomatic 1 month back, when he developed generalised edema, insidious onset and progressive for which he consulted doctor He was advice to get dialysis done.  Patient didn't get dialysis and went home with medicine   After medication the swelling reduced, but didn't disappear.  Patient came back again on 19 Jan with chest pain sudden onset, following spicy meal, squeezing type, no radiation.  Generalised swelli...