Nephrotic Syndrome

A 45yr old male presented with B/L pedal edema since 3yrs gradually progressed 

complaints of knee and back since 3yrs 

k/c/o DM since 6 yrs on medication 

and HTN since 6months on medication

past h/o 2 episodes of seziours 1 1/2 yrs ago 

on medication as prophylactic. 

on o/e 

pt c/c/c 

afebrile 

PR 82

BP- 120/80

RR 20

CVS- S1 S2 

RS- BAE, NVBS 

PA- Soft non tender 

CNS- conscious

normal speech

cranial nerves, motor, senslry system- NAD 

GCS- 15/15

Pallor and b/l pedal edemal(pitting) present

no icterus, cyanosis, clubbing, lymphadenopathy, koilonychia

provisional diagnosis- Nephrotic syndrome