A 26 Y/O MALE WITH VOMITING




A 26 Y/O MALE WITH VOMITING PEDAL EDEMA SHORTNESS OF BREATH


This is online E log book to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. 

Here we discuss our individual patient’s problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs.


CHIEF COMPLAINTS

Vomiting since 1 month 

Pedal edema

Shortness of breath on slight exertion

HISTORY OF PRESENTING ILLNESS


A 26 year man, resident of namavaram and is a student was apparently asymptomatic 1 nd half years back

The patient has a history of pedal edema SOB and decreased urine out put and went to a hospital was given dialysis about 6 times in five months
Later he has come to KIMS in march 2021 where he continued dialysis

Now he presents with a complaint of vomiting since 1 month 
He had vomiting 1-2 times a day with no pain in abdomen
It usually occurs after eating
The vomit had no blood and contains undigested food

After two weeks he went to a hospital in suryapet but the condition was not resolved
Now he has come to our hospital

 
HISTORY OF PAST ILLNESS

No history of Diabetes mellitus
                    Thyroid disease
                    Bronchial  Asthma
                    Tuberculosis
H/O Hypertension since 2 and half yrs

PERSONAL HISTORY

Single
Normal appetite but vomiting as soon as eaten
Mixed diet[Non vegetarian]
Bowels regular
Micturition normal
There was a seasonal allergy 10 yrs ago 

FAMILY HISTORY

No significance

General examination

 Pallor is there

NO Icterus

NO Cyanosis

NO Koilonychia

NO Lymphadenopathy

NO Edema 

NO Malnutrition

VITALS

BP : 140/90 mm/Hg

Pulse rate : 82 /min

Respiratory rate : 15 / min

SPO2 at room air : 97%


SYSTEMIC EXAMINATION 

CVS

S1 and S2 heard +
 

RESPIRATORY SYSTEM

Position of trachea: central

ABDOMEN

Shape : Scaphoid

NO Tenderness

No palpable mass, fluid , bruits


CNS 

Is Conscious

Normal speech

No Signs of meningeal irritation

 DIAGNOSIS

CKD ON MHD



INVESTIGATIONS

 ECG




Complete Blood Picture


Complete Urine Examination



ULTRASOUND



Blood grouping





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