1802102016 final practical-Gm short case
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A 65 YEAR OLD MALE TODDY TREE CLIMBER BY OCCUPATION CAME WITH C/O ANURIA SINCE 2 DAYS.
History of present illness:-
-Patient was apparently asymptomatic 15yrs back ,then he fell down from toddy tree and had a history of fracture of femur for which surgery was done .
- Again 10 yrs back patient fell down due to giddiness .
- Patient also diagnosed with hypertension and on regular medication .
-Patient has got flexion fixid deformity 7 yrs back and he stopped climbing tress and stays at home .
-Patient came with anuria since 2 days and SOB .
-No case of palpitation ,chest pain ,syncope attacks .
Past history :-
No history of diabetes,CVA,CAD,Asthma , epilepsy .
Treatment history:-
Tab Amlong 5mg PO/OD for hypertension
History of surgery for renal caliculi
Personal history :-
Diet :- mixed
Appetite :- decreased
Bowels :- irregular
Micturition :- abnormal
Addictions:-occasional alcohol consumption ,has history of smoking .
General examination :-
Patient is conscious, coherent, cooperative and well oriented to surroundings.
Haa pallor and edema .
Systemic examination :-
CVS :- S1,S2 heard ,no murmurs
Respiratory system:- Dsypnea present ,breath sounds vesicular .
CNS :- Intact
Abdomen :- soft ,non tender .
Investigations :-
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