2nd internal assessment. - 45/60
aki on ckd 2to htn
AKI ON CKD 2° TO HTN Cheif complaints: A 65year old man came to hospital with complaints of fever on and off , tightness of abdomen ,facial puffiness since 15 days History of present illness: A 65 year old male toddy tree climber by profession was apparently asymptomatic 10 years back then he was had swelling and pain abdomen for which he was diagnosed with- lt sided inguinal hernia and got operated in some private hospital. Preoperative and postoperative period was uneventful 4 years back patient had complaint of giddiness for which he approached government hospital physician and was diagnosed Hypertension[170/90] and was started on some unknown medication 6 months back patient had complaint of bilateral pedal edema for which investigations were done and found his serum creatinine elevated (4.3 ) and proteins in urine CT scan showed unilateral (lt)staghorn renal calculi and bilateral inguinoscrotal hernia DTPA scan was done showing decreased GFR on ...
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