56 YEAR OLD MALE WITH C/O S.O.B





FINAL EXAM SHORT CASE :

Chief complaints:
A 56 yr old male patient resident of Aganmothkur,who is a farmer ,came to the hospital with chief complaints of shortness of breath since 1 day.

History of presenting illness:
   Patient was asymptomatic 3 months back.Then he developed bilateral pedal edema of grade-4 pitting type and shortness of breath grade-3 for which he was hospitalised and was diagnosed to have Chronic kidney disease .
  Since then he had 11 sessions of hemodialysis .The last one was done as he had shortness of breath of grade-3 and bilateral pedal odema grade -3 pitting type .



Past history:He went to hospital as he had fever and diagnosed to have Hypertension 5 months back .

Underwent surgery for hollow viscous perforation 2 yrs ago.



GENERAL EXAMINATION: The patient is conscious, coherent, coperative .Moderately built and nourished.

•Pallor present


•Bilateral pedal odema -pitting type-grade 3





No cyanosis, No clubbing, No koilonychia,No lymphadenopathy.

Incisional hernia above the umbilicus





Hemodialysis:CVP line


Drugs:

Tab.lasix 40mg bd

Tab.nicardia 10mg tid

Tab.shelcal od

 


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