52 yr old male patient came to OPD with

 AMC BED.NO-5

52 YEAR OLD MALE 

Date of admission:

20/08/2022 


A 52 yr old male patient came to OPD with 

Chief complaints:

-fever since  2 days 

-slurred speech for half an hour 2 days back then he regained speech

-bilateral pedal edema since 2 days

-abdominal distension since 2 days

-decreased appetite since 2 days 

-decreased urine output since 1 day



Pt was apparently asymptomatic 30 days back then he developed pedal edema B/L pitting type for which he used herbal medicine and edema got resolved. 


-10 days back he again developed B/L pedal edema pitting type associated with abdominal distension and decreased urine output for which he was treated constantly. 


-Since 2 days he had c/o fever , low grade , intermittent a/w pedal edema pitting type B/L till knees , abdominal distension and stool urine output (reddish) 


*H/o seizures 

- one episode in childhood,

- one episode 30 yrs back 

- one episode 10 yrs back

- 10 months back he  underwent MRI for seizures for which he was diagnosed to have ? Neurocysticercosis and was treated conservatively for 21 days   , 4 months back


-Last episode of alcohol intake 5 months back

-Beedi 1pack/day -- stopped since 5 days 


N/K/c/o: DM/HTN / ASTHMA /TB /CAD


21/08/2022


S: Fever subsided since yesterday



O: Patient is concious, coherent and cooperative 

Bp:120/70 mmHg

PR:85bpm

RR:20cpm

Temp-96.8°F

GRBS: 93mg/dl

CVS : S1and S2 + no added sounds

R/S- BAE+,clear

P/A-soft,tender on left side

CNS-NAD


A:AKI

?CLD WITH HEPATORENAL SYNDROME




P:

1.IVF 10RL 

      10NS @70ml/hr

2.Inj - Lasix 40mg iv BD

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