A 45 YEARS OLD MALE PATIENT WITH 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 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. 
CHEIF COMPLAINT:-
A  45 year old male came to casualty  with a complaint  of pedal edema and SOB.
HISTORY OF PRESENT ILLNESS:-
A 45yr old male patient who is security  by occupation was apparently  asymptomatic one week back then he developed pedal edema   associated with decreased urine output and SOB  gradually  progressed and increased  on  exertion 
First he went to a private hospital and undergone dialysis for four times.
HISTORY OF PAST ILLNESS  :-
 He was diagnosed with HTN  for which he was ordered  renal function tests 3 years ago where his renal parameters have been damaged.he was on conservative  treatment  for about 3 years.
N/k/c/o Dm, asthma ,epilepsy,Tb 
K/c/o  hypertension ( 3years)

PERSONAL HISTORY :-
Married
Appetite: Normal
Mixed diet
Allergies:-No
Adequate:  sleep
Regular :bowel movements 
Normal micturation
Addiction:  
Alcohol occasionally , 
Smoking 
FAMILY HISTORY:
 Patient father has diabetes , hypertension.
 
GENERAL EXAMINATION : 
 Patient is conscious,coherent,coperative 
No history  of  cyanosis, clubbing
Lymphadenopathy, pallor
Physical  status :moderately built

VITALS
 Temp-98.3F
 PR- 79
RR-18
BP-130/90

SYSTEMIC  EXAMINATION:
Cardiovascular system
Cardiac sounds: S1 S2+
No thrills  and cardiac murmurs
Respiratory system
Dyspnoea: No
Wheeze: No
Shape Abdomen : scaphoid
DIAGNOSIS  :-
   CRF ( chronic renal failure)
INVESTIGATIONS:-
ECG
Day 1:-
Day 2,3:
Day 4:

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