42 year old male with swelling on lower back


42 year male with swelling on lower back



42 year male ,auto driver by occupation , came to the Casualty.

C/o - swelling on lower back and pain in abdomen

History of presenting illness:

Patient has a swelling on lower back so, he came to our hospital.After the test he got to know that his creatinine levels are increased.

4-5 years ago, he felt discomfort and uneasy and went for a checkup in his friends lab at suryapet.

After the tests , he came to know that his creatinine levels are slightly increased 2-3mg/dl and he totally ignored it.

Now his creatinine levels are 5.9mg/dl.So he was suggested for dialysis 

After 1st dialysis- he suffered from fever for 3 days

With no loss of appetite and vomitings

After 6th dialysis,

He got infected at the region he was dialyse and he took antibiotics. During that time he felt uneasy and admitted to ICU. After few injections, he got normal.

Before swelling , he used to have normal diet 

He used to eat rice morning and afternoon and chapathi for dinner.

But after dialysis,he had idly morning and rice afternoon.


PAST HISTORY :-

H/o - heartpain (10years ago)

No TB, Epilepsy, Asthma.


Personal history

Diet:- mixed

Appetite- Adequate 

Bowel and bladder movements - Regular

Sleep :- regular

Addictions:-
Alcohol - 90ml every alternate day

Smoking - 1-2 cigarettes daily

Drug addiction:- no

Allergies :- no

Family H/o :- no

On general examination

Patient was moderately fit, good nourishment 
Cooperative , well oriented
No Pallor, 

No Icterus,

No Cyanosis,

No Clubbing,

No oedema (pedal)

No Lymphadenopathy


Vitals
Temp :- 98.2C/F

PR:- 88 bpm

BP: 130/80 mmHg

SpO2: 98% at RA

RR:- 14 cpm


INVESTIGATIONS 


- 05/02/2022

ECG











DIAGNOSIS - impaired kidney  function
CKD 
TREATMENT:-
 

Frusemide  80mg/day










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