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52F ACUTE PULMONARY EDEMA CHRONIC RENAL FAILURE HTN 1MONTH DM2 5YRS

Diagnosis -ACUTE PULMONARY EDEMA CHRONIC RENAL FAILURE HYPERTENSION SINCE 1MONTH DIABETES MELLITUS SINCE 5YEARS CC -C/O FACIAL PUFFINESS AND PEDAL EDEMA SINCE IMONTH HOPIS PATIENT WAS APPARENTLY ASYMPTOMATIC 1 MONTH AGO THEN SHE DEVELOPED FACIALPUFFINESS AND PEDAL EDEMA SINCE I MONTH INSIDIOUS ONSET GRADUALLY PROGRESSIVE WITH SOB GRADE III FOR WHICH SHE USED OUTSIDE MEDICATION AND PARTIALLY RELIVED. DECREASED URINE OUTPUT SINCE 2DAYS FEVER SINCE 2DAYS NOT ASSOCIATED WITH CHILLS AND RIGORS,NO DIURNAL VARIATION. COUGH NOT ASSOCIATED WITH EXPECTORATION . PAST HISTORY - DIABETES MELLITUS SINCE 5YEARS. HYPERTENSION SINCE 1MONTH NO OTHER COMORBIDITIES GENERAL EXAMINATION  PT IS C/C/C BP-140/80MMHG PR-86BPM SPO2-99 % on RA RR-18CPM SYSTEMIC EXAMINATION CVS-S1S2+,NO MURMURS RS -BAE +, BILATERAL DIFFUSE CREPTS + IN ALL REGIONS INVESTIGATIONS  RFT -4/01/2024 UREA  158 CREAT 6.6 NA + 133 K+.  5.3 CL- 101 HEMOGRAM  HAEMOGLOBIN  9.9 gm/dl TOTAL COUNT  16,100 cells/...
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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 AD...
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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 pat...
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