Thesis 1
26year old male patient
Patient was apparently asymptomatic 10years ago
10years ago he had polyuria when he was diagnosed to have type 1 diabetes mellitus,from then he was started on insulin
For 9 years he was fine and 1year ago when he went for his regular check up for his diabetes he was also diagnosed with hypertension and is on regular medications for his diabetes and hypertension.
He developed pedal edema 6months ago for which he used some medications (no records availabe e)pedal edema subsided
3months ago had severe vomitings for which he came to the hospital
No h/o pedal edema,sob,facial puffiness 3months back
He was diagnosed with chronic kidney disease 3months ago and was started on dialysis
Pt is on T arkamine,T met xl,T lasix
He is on dialysis since 3months weekly twice
K/c/ o hypertension and diabetes
From 25/9/20 to 27/10/20
He underwent 9sessions of dialysis
2injections iv iron sucrose 100mg were given on 25/9/20,7/10/20
2injections EPO 2000 units s.c given on 25/9/20,2/10/20
No PRBC transfusions
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