Thesis 1

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 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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