48 year old male patient with Chronic Kidney Disease

 110 Rachana Gangula 9th Sem  

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"



A 48 year old male patient with Chronic Kidney Disease secondary to diabetic nephropathy, on Maintenance Hemodialysis


A 48 year old male patient with Chronic Kidney Disease secondary to diabetic nephropathy came for admission for Maintenance Hemodialysis treatment. 

Patient got admitted on 2/9/21 with fever, burning micturition and pedal edema, which progressed to Anasarca. Known case of Hypertension, Diabetes Mellitus type 2 since 2 years and hypothyroidism since 6 months. 
He had 5 sessions of dialysis, 1st session was done on 5/9/21. No CME for readmission. Now admitted under CKD on MHD.

PAST HISTORY
No H/o similar complaints in the past. 
History of HTN and DM-2 since 2 years 
for HTN- Tab. Nicardia 20mg Oral BD 
                 Tab. Metx2 25mg Oral BD 
for DM- Inj. ACTRAPID 8U-8U-8U 

History of Hypothyroidism since 6 months. 
for hypothyroidism- Tab. Thyronom 50 mcg Oral OD 

Not a known case of Asthma, Epilepsy, CVA, CAD. 

Family History- Not significant

PERSONAL HISTORY
Diet- Mixed 
Appetite- Normal
Sleep- Adequate
Bowel and bladder movements- regular 
Addictions- None

GENERAL EXAMINATION 

Pateint is conscious coherent and co-operative, well-oriented to place and time. 
Patient is well nourished and moderately built. 
No Pallor, Icterus, Cyanosis, Clubbing, Lymphadenopathy, 
Vitals- 
Pulse- 
Blood Pressure- 
Respirartory Rate- 
Temperature- afebrile 


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