67yr old male with complaints of pedal edema

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Patient came with c/o Pedal Edema till ankle since 10days

Not associated with SOB

C/o loose stools since 2days ; 4-5 episodes 

HOPI:

Patient was apparently asymptomatic 10days back then he developed pedal edema (pitting type) up to ankle 

Not associated with any SOB or facial puffiness

No h/o palpitations, blurring of vision 

Past history:

Not a k/c/o HTN, DM, epilepsy, BA, TB, CAD, CVA

General examination:

No pallor, icterus, cyanosis, clubbing, Lymphadenopathy 

Temp- 98.2 F

PR- 88bpm 

BP- 170/90 mmhg 

RR- 18cpm

Spo2- 98% @RA

O/E:

Pt. is c/c/c

CVS- s1s2

No murmurs

RS- BAE

NVBS

P/A- soft, non-tender

CNS- NAD

DIALYSIS SESSIONS:

1st- 30/3/22

2nd- 1/4/22

Treatment:

FLUID RESTRICTION <1.5 LITRES/DAY

SALT RESTRICTION <2GM/DAY

INJ. ERYTHROPOIETIN 4000 IU/SC WEEKLY ONCE 

T. LASIX 40MG PO BD

T. OROFER-XT PO BD

T. PAN 40MG PO OD

T. NODOSIS 500MG PO TID

T. SHELCAL PO OD

T. BIO D3 0.25MG PO OD