complaints of knee and back ache since 3yrs
k/c/o DM since 6 yrs on medication
and HTN since 6 months on medication
past h/o 2 episodes of seziures 1 1/2 yrs ago is
on medication as prophylactic.
he was apparently asymptomatic 3yrs ago when he developed sob which Subsided on medication from a local doctor.
he had an episode of seizures 1 1/2 yrs ago (involuntary movements were in left UL and LL)
he is on medications (levipil 100mg) since them.
a similar episode of seizures occurred only once since then.
he is complainting in facial puffiness and b/l pedal edema(pitting type) since once yr.
He was admitted in hospital and was diagnosed with Hypertension and a renal biopsy showed features suggestive of Nephrotic syndrome.
Personal history-
Pt is married and is a welder
He had mixed diet with normal appetite
Bowel and bladder habits are regular
Used to consume alcohol occasionally
Has a habit of chewing pan amd zarda
Does smoke cigarettes or illicit drugs
No past surgical history
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
No comments:
Post a Comment