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49year old male patient
K/c/o CKD on MHD since 4months
K/c/o type 2DM since 15years
K/c/o HTN since 1year
Driver by occupation.
Patient was apparently asymptomatic 1year back when he developed on and off fever and hematuria for which he was admitted in our hospital and was managed medically (no records available with the patient), after that he was on medication and later he discontinued medication for one month .
4months ago he started developing bilateral pedal edema which was insidious onset, gradually progressed upto knees, associated with h/o dyspnoea grade 3,No h/o decreased urine output.patient was taken to ****** hospital where he was diagnosed with CKD and the serum creatinine was 21. He was put on dialysis there. 14sessions of dialysis in 2months.Due to covid pandemic it became difficult for them to go to that hospital and was admitted here.
At admission.....
O/E
Pt conscious coherent
Cvs :s1s2+
Rs:BAE+, crepts + in B/L IAA, ISA
P/A soft, NT
CNS :no FND
BGT -- AB +Ve
09/08/2020
USG
01/09/2020
04/09/2020
He underwent 10sessions of dialysis in july and 10 sessions of dialysis in august, 1 dialysis this month (September)
In between he developed flash pulmonary edema which was managed medically by inj lasix and inj NTG
X ray of pulmonary edema
2 Inj of EPO and 1inj of iron given
2pint PRBC transfusion were done
