CKD with ADPKD

 Case of 55 yr /M with CKD with Autosamal dominant PKD. 


Cheif complaints :

 *pedal edema   and facial puffiness since 3 months. 

* sob since 2months


HOPI:

Patient was apparently asymptomatic 3 months back then he developed  pedal edema   first observed at ankle later progressed upto the knee (pitting type) along with facial puffiness in the same time period. 

He also complained of SOB since 2 months

Initially it was  observed on doing his regular work(Granite cutting) and  then aggrevated even on walking (Grade 2) not relieved on medication. 


The patient had a history of occasional cough on and off, usually productive, since 2 months while doing his work which subsided on  medication. 

No h/o blood vomiting, fever and burning micturation. 

He was taken to a hospital in Nalgonda where he was asked to get usg abdomen done and diagnosed with poly cystic kidney disease and referred to KIMS for further evaluation and treatment. 

Past History:


No History of similar complaints in the past.

 He also had a past history of right sided traumatic eye injury when hit with a stone. No significant past and family history. 

He was diagnosed hypertensive 10 days back. 

No h/o DM, , TB, Asthma . 


Personal History: 


Diet : mixed

Appetite : Normal

Sleep : adequate

 Bowl and Bladder :Regular

 Addictions : Chronic alcoholic : since 30 yrs

     Consumes alcohol daily

Smoking : smokes beedi (1 pack) daily (20 beedies)  since 30 yrs


General Examination:


Patient was conscious, coherent and cooperative 

Pallor( +) 

Icterus  : absent

Cyanosis:absent

Clubbing:absent

Lymphadenopathy: absent

Edema : pedal edema ( pitting type) 












VITALS:

Temp - afebrile 


Pr :72bpm


Rr :20 cycles/min


BP :140/70 mmhg 


Spo2 :99% at room air 


Systemic Examination 


CVS - 


S1 s2 + 


No murmurs 


RS - BAE + 


NVBS + 


Abdomen :

soft, non tender, no palpable mass 


CNS - No focal neurological deficits (NAD) 




Provisional diagnosis- Polycystic Kidney Disease with Chronic Renal Failure . 

Detailed study done by Dr. Nikilesh ( intern) 

https://clinicaldatanalysis.blogspot.com/2021/11/55-year-old-male-with-pedal-edema.html?m=1#more

Popular posts from this blog

45/M with Pancytopenia secondary to B 12 deficiency.

Image
FINAL MBBS PRATICAL EXAMINATION: SHORTCASE This is online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs.This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. N. Raveela Hall ticket no: 1701006123 I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.   CONSENT AND DE-IDENTIFICATION :  The patient and the attenders have been adequately informed about this documenta...
Read more
Image
 My Internship learning Experience..   Posted from  I was allotted  unit :4  Unit Duties  OP Day We saw patients in the op.  1) As soon as the patient enters I checked for vitals. Asked about the chief complaints. Took a proper History.  2) Did the general examination and systemic examination for the them 3. Few of them came for regular check up. 4.Advised investigations 5.Advised medication as per senior order.. Few of them  cases were admitted.  I took responsibility for all the patients admitted in our unit.  Checking out their vitals for them.  Case 1)  https://raveelaravi.blogspot.com/2023/06/65m-with-epitaxis-secondary-to-htn.html Patient had very low Hb: 4 mg/dL I did 2 prbc Transfuions.  2)  https://raveelaravi.blogspot.com/2023/06/55-yr-m-with-paraperesis-under.htm 4)  https://raveelaravi.blogspot.com/2023/06/60-yrmale-with-dyspepsia-and-typ2-dm.html Icu duties: I monitered vitals , took samble...
Read more