gm case -6

Case scenario
Hi this is g.harini. 3rd bds student. This is an online elog to discuss our patient health data after taking his consent. This also reflects my patient online learning portfolio

                      CASE HISTORY
PATIENT DETAILS:
A 75 years old female patient presented with

CHIEF COMPLAINT:
Swelling of lower limbs and face puffiness since 9 months

HISTORY OF PRESENT ILLNESS:
Patient was apparently asymptomatic 9months ago then she developed edema in lower limbs bilateral and puffiness of face. She visited local hospital and gone through various routine tests and diagnosed as kidney failure and undergone dialysis from past 8 months symptoms has been subsided but these are reccuring frequently and progressed gradually upto present stage. 

HISTORY OF PAST ILLNESS:
Diabetes mellitus: present since past 15 years
Hypertension: present since past 2 years

PERSONAL HISTORY:
Diet : mixed diet
Appetite: Decreased
Bowel and bladder: normal
Addictions: none
GENERAL EXAMINATION:
Patient is consciousand moderate in-built
Pallor : no
Icterus : no
Cyanosis: no
Clubbing: no
Lymhadenopathy: no
Edema: no

PROVISIONAL DIAGNOSIS:
Chronic kidney failure

QUESTIONS:
How frequently should i come for dialysis? 

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