60 year old male with B/L pedal edema

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Patient C/O B/L pedal edema since 1 month

C/O tingling sensation in hands and feet since 4 days

K/C/O DM since 18 years on insulin s/c for 12 years and 4 months. after that on vidagliptin.

K/C/O HTN since 4 years on Amlodipine 5 mg.

O/E-

PR- 90bpm

RR- 18cpm

BP- 130/70 mmhg

GRBS- 106 mg%

CVS-S1 S2 +

RS- BAE+, NVBS

CNS- NAD

P/A- Soft, non tender

PROVISIONAL DIAGNOSIS- CKD

TREATMENT

1. TAB. VIDAGLIPTIN 100MG PO/OD

2. TAB. AMLODIPINE 10MG PO/OD

3. TAB. OROFER  XT PO/OD

4. TAB. NODOSIS 500MG PO/BD

5. TAB. SHELCAL PO/OD

6. TAB. BioD3 PO/OD WEEKLY ONCE

7. TAB. LASIX 40MG PO/BD

8. FLUID RESTRICTION< 1.5 LIT/DAY

9. SALT RESTRICTION< 2GM/DAY