45 year old with pedal edema
A 45 year old female, cook by occupation, mother of two, came to the OPD on 21/1/22 with chief complaints of loss of appetite and vomiting since 2 months Pedal edema since 1 year No c/o Shortness of breath, decreased urine output, burning micturition. The patient was apparently asymptomatic 1 year ago then she developed pedal edema, on and off, upto mid calf level ,which relieved on walking. C/o facial puffiness on and off since 1 year The pt went to a hospital in Nalgonda for the same where her Sr.creat was 11.0 The pt was advised for dialysis I/v/o high serum creatinine but they were not willing to get it done and so was started on medication after which her serum creatinine came down to 7. The pt has been using the same medication since the past one year with which she was comfortable as her complaints subsided and was leading a normal life. Since 2 months ago she developed loss of appetite and vomiting for which she went to a private hospital. She was referred to KIMS, NK
