70 year old male resident of muppara Came to the opd with complaint of restlessness; vomiting and loss of appetite
HOPI
Patient is apparently asymptomatic 4 years back then he developed decreased urine output and was diagnosed with CKD and was on medication
15 days back he collapsed while walking and taken to RMP his BP then was 220mmhg and pulse was 50 beats per minute
Then he was taken to a private hospital in suryapet and was given a injection?
DAILY ROUTINE:
He wakes up at 6 AM and freshens up. He has breakfast at around 9 am and then rests for some time. He has lunch at 1 pm and rests for an hour. In the evenings he spends time with his family or by himself or chats with the neighbors. He takes dinner at 8 pm and goes to bed.
PAST HISTORY:
Pt is a K/C/O HTN since 25yrs and DM2 since 8yrs
Pt is not a K/C/O TB,asthma, epilepsy,thyroid disorders.
PERSONAL HISTORY:
Diet-Mixed
Appetite-Normal
B and B movements- Regular
Sleep- Regular
No addictions
TREATMENT HISTORY: pt is on antihypertensives and Oral hyperglycemic agents.
FAMILY AND ALLERGIC HISTORY: No relevant history
GENERAL EXAMINATION:
Patient was conscious, cooperative,well oriented to time,place , person.Moderately nourished and well built
PALLOR WAS PRESENT
NO ICTERUS
NO CLUBBING
NO GENERALISED LYMPHADENOPATHY
PEDAL EDEMA PRESENT (Pitting type)
VITALS::
TEMP AFEBRILE
PR 88 bpm
RR 14cpm
BP
Systemic Examination:
Abdomen: Soft and non tender. Bowel sounds heard
Cardiovascular system: S1,S2 heard
Central nervous system: No focal neurological deficits.
Respiratory system: Bilateral Air entry present. NVBS Breath sounds heard all over the chest. Trachea is Central .
INVESTIGATIONS:
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