CKD CASE

 A 38yrs old male patient presented with CHIEF COMPLIANTS of loss of appetite, decreased sleep,

sob,loin pain

HOPI

Patient was apparently asymptomatic 3months back then he developed loss of appetite and decresed sleep.Then he had nausea,fever and decreased urine output from last 10days,for which he visited kims hospital.

PAST HISTORY

Not a k/c/o HTN,TB,DM,EPILEPSY, ASTHMA.

No previous surgeries.

TREATMENT HISTORY

No relavent treatment history

FAMILY HISTORY

Not significant

PERSONAL HISTORY

Mixed Diet 

loss of Appetite

Bowel movements are once in 8-10days

Decreased urine output

Sleep decreased  

Addictions -Alcohol occassionally

No known allergies.

GENERAL EXAMINATION

Patient was conscious, coherent well oriented to time,place , person.Well built and moderately nourished.

PALLOR WAS PRESENT

NO CYANOSIS

NO ICTERUS

NO CLUBBING

NO GENERALISED LYMPHADENOPATHY

NO EDEMA

VITALS::

TEMP AFEBRILE

PR 91bpm

RR 12cpm

BP 130/80mmHg

SPO2 98% at room air

SYSTEMIC EXAMINATION

1.CVS

**S1 ,S2 heard

**No murmurs.

2.Respiratory system

**Dyspnoea- No

**Wheeze -No

**Position of trachea-Central

**Breath sounds-vesicular

ABDOMEN

**Shape of abdomen-scaphoid

**Tenderness-No

** Palpable mass-No

** Liver- Not palpable

**Spleen - Not palpable

**Bowel sounds - No

4.CNS

** No abnormalities detected

PROVISIONAL DIAGNOSIS

**CHRONIC KIDNEY DISEASE**

##INVESTIGATIONS##

#COMPLETE BLOOD PICTURE

     

                  Hb-7.3gm/dl

 TLC-23,800cells/cumm

 Platelets-3.63lakhs/cumm

#CUE

#SERUM ELECTOLYTES

#SERUM CREATININE

#LFT

#BLOOD UREA

#ULTRASOUND

ECG