70 Year old male resident of Thuppalapalli unemployed who lives on pension fund Came to our hospital
For Dialysis as a regular part of his Dialysis schedule
He also complaints of Generalized weakness since 2 days
HOPI
Patient was apparently asymptomatic 5 years back
Then he started developing pain on his back which insidious in onset gradually progressive ,continuous ,dragging type,non radiating with no aggravating and relieving factors
Patient then went to a hospital and was diagnosed with chronic kidney disease and medications were given accordingly
Pain Relieved on medication
2yr ago the medications were not helping him with his pain and he was suggested to get a regular Dialysis
Since then Patient was regular Dialysis once every 4 days
PAST HISTORY
He had a trauma to the right leg's 3rd toe 30 years back and was amputated
Hypertension since 10 years
Fracture of his right hip joint 10 years back But denied to get any surgery
No diabetes, TB, Epilepsy, asthma, hypothyroidism
TREATMENT HISTORY
he is taking Nifedipine for hypertension
HOPI
Patient was apparently asymptomatic 5 years back
Then he started developing pain on his back which insidious in onset gradually progressive ,continuous ,dragging type,non radiating with no aggravating and relieving factors
Patient then went to a hospital and was diagnosed with chronic kidney disease and medications were given accordingly
Pain Relieved on medication
2yr ago the medications were not helping him with his pain and he was suggested to get a regular Dialysis
Since then Patient was regular Dialysis once every 4 days
PAST HISTORY
He had a trauma to the right leg's 3rd toe 30 years back and was amputated
Hypertension since 10 years
Fracture of his right hip joint 10 years back But denied to get any surgery
No diabetes, TB, Epilepsy, asthma, hypothyroidism
TREATMENT HISTORY
he is taking Nifedipine for hypertension
PERSONAL HISTORY
He Used to take mixed diet but since Dialysis he is only consuming vegetarian diet
5 yrs back he was consuming alcohol cigarettes but stopped since then
Decreased micturition due to decreased intake of water and has ocassional Burning micturition
FAMILY HISTORY
no significant family history
DAILY ROUTINE
Wake up at 7:00 AM
Fresh up and have some tea
Breakfast at 9:00AM
Sleep from 11:00AM to 2:00PM
Lunch at 2:00PM
Watch TV and rest
Dinner at around 9:00PM
GENERAL EXAMINATION
with proper consent of the patient in all full lit and well aerated room the general examination was done
Patient was conscious and coherent
Moderately built and moderately nourished
Pallor
He Used to take mixed diet but since Dialysis he is only consuming vegetarian diet
5 yrs back he was consuming alcohol cigarettes but stopped since then
Decreased micturition due to decreased intake of water and has ocassional Burning micturition
FAMILY HISTORY
no significant family history
DAILY ROUTINE
Wake up at 7:00 AM
Fresh up and have some tea
Breakfast at 9:00AM
Sleep from 11:00AM to 2:00PM
Lunch at 2:00PM
Watch TV and rest
Dinner at around 9:00PM
GENERAL EXAMINATION
with proper consent of the patient in all full lit and well aerated room the general examination was done
Patient was conscious and coherent
Moderately built and moderately nourished
Pallor
No icterus cyanosis clubbing of fingers lymphadenopathy Pedal odema
MEDICATIONS
Fluid restriction <2L/day
Salt restriction <2g/day
Tab Noddsis 500mg po/BD
Tab Lasix 20 mg po/BD
Tab shellcall 500mg po/OD
Tab orofer xt po/OD
Cap bio D3 PO weekly once
Inj erythropoietin 4000 iu sc twice weekly
Tab nicardia 20 mg po/BD
Tab arkamine 0.1mg po/BD
INVESTIGATIONS
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