A 50 YR OLD MALE WITH SHORTNESS OF BREATH ,PEDAL EDEMA

A 45 YR OLD MALE WITH SHORTNESS OF BREATH ,PEDAL EDEMA 



This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box.


A 50 year old female came to casualty presented with complaints of shortness of breath, decreased urine output,bilateral pedal edema since 5 days. 
HOPI 
patient was apparently asymptomatic 5 days back and developed sob decrease urine output pedal edema and complaints of abdominal pain since one week radiating to back
PAST HISTORY
known case of CKD since one year , HTN since 1 year ,  not a known case of DM and asthma
INVESTIGATIONS:
ECG
DIAGNOSIS:CKD on MHD
TREATEMENT:
Tab.shelcal 500mg OD
Tab.nodosis 500mg OD
Tab.OROFER XT OD
Tab.LASIX 40mg OD
Tab.PAN 40mg OD
Tab.NICARDIA 20mg BD
Inj.ERYTHROPOITIN 4000U weekly once
Inj.IRON SUCROSE 100mg weekly once in 100 ml NS
SALT AND WATER RESTRICTION

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