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jankammma 73y female -202433096

 73 YEAR OLD FEMALE RESIDENT OF NALGONDA WAS BROUGHT TO THE CASUALTY WITH C/O SWELLING OF BOTH HANDS SINCE 4 DAYS C/O DIFFICULTY SWALLOWING SINCE 1 DAY HISTORY OF PRESENTING ILLNESS PATIENT WAS APPARENTLY ASYPMTOMATIC UNTIL 4 DAYS AGO THEN HAD  C/O B/L UPPER AND LOWER LIMBS  SWELLING INSIDIOUS IN ONSET, GRADUALLY PROGRESSIVE PITTING TYPE, AGGRAVATED ON WALKING; RELIEVED ON LOWER LIMB ELEVATION.. C/O DYSPHAGIA TO BOTH SOLIDS AND LIQUIDS SINCE 1 DAY. NO C/O FEVER, COUGH, COLD, SOB NO C/O ORTHOPNEA, PALPITATIONS, PND NO CIO BURNING MICTURITION, INCREASED OR DECREASED URINE OUTPUT NO C/O LOOSE STOOLS, NAUSEA, VOMITINGS, CONSTIPATION PAST HISTORY: K/C/O HTN SINCE 15 YEARS, STOPPED MEDICATION SINCE 15 DAYS K/C/O CKD SINCE 15 YEARS K/C/O CVA SINCE 2MONTHS,  RIGHT HEMIPARESIS  K/C/O FLUOROSIS OF SPINE SINCE 13YEARS H/O RIGHT LOWER LIMB FRACTURE SURGERY(TIBIAL PLATING ) PERSONAL HISTORY: MIXED DIET APPETITE NORMAL BOWEL MOVEMENTS NORMAL BLADDER: NORMAL NO ALLERGIES NO ADDICTIONS FAMILY HISTORY
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THESIS

TITLE -OUTCOMES OF ANEMIA IN PATIENTS OF CHRONIC KIDNEY DISEASE.     INTRODUCTION -          Anemia is a major complication affecting chronic kidney disease patients accounting to increased cardiovascular diseases ,decreased appetite with progressive malnutrition and major cause for poor outcomes including    higher rates of mortality. AIM - To evaluate outcomes of anemia in patients with chronic kidney disease OBJECTIVES 1. To assess the haemotological profile and serum iron indices in chronic kidney disease. 2. To assess therapeutic uncertanities in managing patients with anemia of chronic renal failure.  3. To assess the outcomes in terms of mortality. TYPE OF ATUDY DESIGN - Prospective Observational Qualitative study INCLUSION CRITERIA  1.Hb <13mg/dl in men and Hb < 12mg/dl in women. 2. Greater than 18 Years age of both genders. 3.GFR <60 ml/min/1.73sq.mts >3months. 4. Informed Consent from each patient or legal guardian prior to enrollment. EXCLUSION
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