A 65 year old female CKD Patient on Maintenance Hemodialysis
A 65 year old female, a resident from nalgonda,farmer by occupation, with known history of Chronic Renal failure , came to hospital for Maintenance Hemodialysis and for medical checkup C/O: Pedal edema from past 3months, Shortness of breath from past 7 days, Decreased hearing from past 7 days, Fever H/O Present Illness: Patient was apparently asymptomatic 3months back,then she developed bilateral pedal edema (Pitting type extending upto thigh) which was gradual on onset,slowly progressive and also with facial puffiness associated with shortness of breath(Grade 3)(have to stop for breath when walking at own pace) from past 7 days and with decreased urine output from past 7 days later she came to know that these irregularities maybe due to failure of her followup on regular treatment, then patient came to hospital for further management Past History: Patient is an known case o