Patient was apparently alright 6 months back when sje had an episode of fever for 5days associated with vomiting for 2 days straight and was later bought to our hospital after series of investigations she was diagnosed with AKI
Three months ago she had a wound over left ankle for which she taken. to a hospital and wound was dressed.
Since then patient has been on medication since 6 months after being diagnosed with chronic kidney disease and as rpd changes of grade 3
During regular check up in dec her creatinine was 4.8
she has no history of being diagnosed with HTN, DM, BA, TB, CVA Epilepsy
Past surgical history-
History of hysterectomy 15yrs ago
History of present admission-
since 4 days patient expedian shortness of death which was aggravated at night while the second by the local medical practitioner she was told her blood pressure was elevated to 200/150 mm hg
she has reduced bowel movement since 2 days
she is complaining of body pains since 10 days
current treatment plan
tablet lasix 40 MG
tablet Met xl 50 mg
tablet orofer xt po od
tab shelcal po od
tab nodosis 550mg po bd
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