A 62 years old female patient with diabetic nephropathy

62 year's old female patient homemaker by occupation came with cheif complaints of loss of appetite and generalized weekness since 2 months, bilateral pedal oedema since 1month, vomiting associated with nausea since 10 days

History of present illness:

Patient was apparently asymptomatic 2 months back then she developed bilateral pedal oedema extended upto knee which was insidious in onset,and gradually progressive , pitting type, not relived on medication

Vomiting was non projectile and non blood tinged 

Patient daily routine:

Patient is a homemaker and daily gets up morning, does house hold work.

Past history:

Patient was known case of type 2 diabetes mellitus since 10 years

No history of hypertension, thyroid disorders, asthama , tuberculosis

Family history: No significant family history

Personal history:

Diet:mixed

Appetite: decreased

Bowel and bladder: regular no burning micturition

Addictions:no addictions

General examination:Patient was conscious ,coherent, co operative

Moderately build and nourished

Pallor: present

Icterus: absent

Cynosis: absent

Clubbing: absent

General lymphadenopathy : absent

Oedema: present

Vitals

Temperature afebrile

Pulse rate 90bpm

Blood pressure:150/80 mmHg

Respiratory rate:16 cpm

Spo2: 97%

Systemic examination

CVS:S1,S2 Heard

RS:bae , present nvbs present

Git soft and non tender

Cvs: no focal neurological deficit

INVESTIGATIONS




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Diagnosis: diabetic nephropathy with severe anemia

Treatment:

Fluid restriction

Salt retention

Tab lasix 40 mg

Tab orofer od

Inj erythropoietin

Tab nodosis 500 mg

Hemodialysis

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