60 years male for regular hemodialysis

Patient came for regular hemodialysis.

HOW WAS HE DIAGNOSED?

1 year ago, on 18th December,2022 patient had complaints of high grade fever and body pains and went to some hospital in Hanunakonda.

All routine investigations were done there(reports are not available) and was diagnosed with Chronic kindney disease.
He was advised for regular hemodialysis.
Dialysis was being done.


PRESENT HISTORY

15 days ago,
Patient was feeling weak and unresponsive.
His family members took him to nearby local hospital. They were said that he had low sugar level. And he was treated with IV fluids ( ? Unknown)

2 months ago,
C/O SOB, insidious in onset and gradually progressive and decreased urine output.
He was advised for dialysis and dialysis was done.
Since then he is on regular dialysis.

PAST HISTORY

He is a k/c/o HTN since 2 years and DM since 3 years and on regular medication.

PERSONAL HISTORY

Appetite -normal
Sleep-adequate
Bowel and bladder - regular
No addictions
No known allergies

GENERAL EXAMINATION

pallor- mild 
No icterus, pedal edema 










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