48 year male with B/L pedal edema

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 Patient came with C/O B/L pedal edema since 1 month.

HOPI- Patient was apparently asymptomatic 1 month ago then developed pedal edema 

HTN since 1 year

DM since 5 years

O/E

PR-84bpm

RR-18cpm

BP- 180/100 mmhg

CVS-S1 S2 +

RS- BAE+, NVBS

CNS- NAD

P/A- Soft, non tender

12/05/2022

BGT- B POSITIVE

CBP- 

HB- 10.1

TLC- 5800

PLT- 1.95

RFT-

UREA-60

CREATININE- 5.1

URIC ACID- 7

SODIUM-142

POTASSIUM- 3.7

CHLORIDE-99

LFT-

TB- 0.80

DB- 0.24

SGOT-13

SGPT-15

ALP-238

TP- 6.3

ALBUMIN- 3.4

A/G 1.20

SERUM IRON- 87

Serology negative

PROVISIONAL DIAGNOSIS-

CKD ON MHD

TREATMENT

1. INJ. LASIX 40MG IV/BD

2. INJ. PAN 40MG IV/OD

3. INJ. ZOFER 4MG IV/OD

4. TAB. NICARDIA 10MG PO/BD

5. TAB. OROFER XT PO/OD

6. TAB. SHELCAL 500MG PO/OD

7. TAB. NODOSIS 500MG PO/BD

8. INJ. EPO 4000IU S/C ONCE WEEKLY

9. FLUID AND SALT RESTRICTION