70Y/M (CKD)
C/o pedal oedama since 6 months C/0 facial puffiness since 6 months C/o breathlessness since 6 months C/0 abdominal distension 6 moths back. History of Present illnesses : Patient was apparently asymptomatic 6 months back, later he complained of • Pedal Edema : insidious onset, gradual progression - Grade 2 -Pitting type - Subsiding on medication (Lasix) • Facial puffiness : - Insidious onset, gradual progression, subsiding on taking medication • Shortness of breath since 6 months: - Grade 3 ~> 4 ( Progressed to grade 4 in the past few days) - Orthopnea + - no c/o PND, Palpitations, Chest pain. •Abdominal distension : 6 months back K/C/O Hypertension since 20 years. On medication ( Amlong 5 mg PO/OD) K/C/O DM since 20 years, on insulin. Not a K/C/O TB, Asthma, CAD, Epilepsy Patient was taken to Hyderabad for the following complaints, where an abdominal USG was ordered, it's findings were : •right small kidney with altered parenchyma ? Congenital •bila
