General Medicine Case Discussion

"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 is welcome."

SHORT CASE

A 35 year old male patient, resident of Motukur, labourer by occupation is undergoing dialysis since 10 months. He was diagnosed with hypertension 2 years ago. He took the medication for hypertension and then stopped abruptly for 2 months. 
He is undergoing dialysis twice a week since 10 months.

General Examination: 
The patient is conscious, cooperative, coherent and is moderately built and well nourished.
Pallor : Absent
Icterus : Absent
Cyanosis : Absent
Koilonychia : Absent
Lymphadenopathy : Absent
Edema : Present - bipedal edema , pitting type

Abdominal examination shows : mild Abdominal distension.

Diagnosis: 
Chronic kidney disease with bipedal edema.

Investigations: 
Haemogram
Complete urine examination
Renal function test
Liver function tests


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