A 50 YEAR OLD MALE WITH LOSS OF APPETITE
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Chief complaints:
A 50 year old male patient, construction worker by occupation came with complaints of
Loss of appetite since 25 days
History of presenting illness-
Patient was apparently asymptomatic 2 years back, then he went to the hospital with complaints of loss of appetite and was diagnosed to have renal failure and hypertension.
Patient had dialysis beginning from 2019 till 2020 outside hospital
Then in 2021 he came to our hospital and had 2-3 dialysis after which dialysis was stopped and he was on conservative management and had regular follow ups.
He came with complaints of loss of appetite since 25 days and pain in bilateral loin region since 25 days
No history of decreased urine output, pedal edema, shortness of breath, chest pain, palpitations, cough.
History of usage of NSAIDs (3-4/day) for bilateral knee joint pains, pricking type which was aggravated on exertion and relieved on taking medication.
Past history -
Hypertensive since 2 years and on medication. No history of diabetes, tuberculosis, asthma, epilepsy.
Treatment history-
Tab. Amlong 2.5mg
Tab. Arkamine 100mg
Personal history-
He takes mixed diet, loss of appetite, bowel and bladder movements are regular.Non alcoholic non smoker
On general physical examination:
Vitals:
BP-140/90 mm hg
PR- 86 bpm
Temp- afebrile
RR- 20 cpm
Spo2- 98% on room air
Pallor- present
No signs of icterus, cyanosis, clubbing, lymphadenopathy, pedal edema.
Systemic examination:
CVS: S1 S2 +, no murmurs
RS: BAE+, NVBS, no added sounds
CNS: NAD
P/A: distended, soft, non tender, BS+
Investigations:
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