Chronic kidney Disease

A 50 year old male , a daily wage labourer by occupation, resident of Nakrekal came to casualty with the c/c of pedal edema since & sob since 2 days.
Patient was previously diagnosed with CKD ,a year ago and kept on MHD . He developed bilateral grade 2 pedal edema pitting type which was insidious in onset and gradually progressing along with facial puffiness in the same time period. He also complained of SOB which was insidious in onset and gradually progressing, aggravated on doing his regular work(Granite cutting) with  relieving factors  after taking medication. 

He was a occasional  alcoholic and for 30 years and stopped consuming alcohol 1 year back.

No h/o blood vomiting, fever and burning micturation. 



No h/o  TB, Asthma 

But Diabetes +, HTN + 

No significant past and family history. 

He was taken to a hospital in Hyderabad where he was diagnosed with chronic kidney  disease and underwent his 1 st dialysis treatment and suggested to take medications after that.

After 1 year he stopped taking medications and the symptoms reversed and came to Kims for further treatment



General Examination



Patient was conscious, coherent and cooperative 



Temp - afebrile 



Pr 92 bpm



Rr 22cycles/min



BP 140/80 mmhg 



Spo2 98% at room air 







Systemic Examination 



CVS - s1 s2 + ,No murmurs 



RS - BAE + 



NVBS + 



Abdomen- soft,  non tender, no palpable mass 



CNS - No focal neurological deficits (NAD) 







Provisional diagnosis- chronic kidney failure














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