A 40YR OLD FEMALE WITH VOMITING AND NAUSEA.

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CHEIF COMPLAINT:

PT aged 40 yrs F Farmer by occupation came to opd with c/o of Vomitings since 15 days nausea since 15 days

HISTORY OF PRESENT ILLNESS:

Pt was apparently normal 4yrs back then she had burning micturition pedal edema and rt loin pain and diagnosed with renal calculi(2 to 3 cm)

Pt has right kidney nephrectomy in 2018

Since 10 to 15 days pt had nausea and Vomiting 

HISTORY OF PAST ILLNESS

Right kidney nephrectomy in 2018

N/k/c/o hypertension, diabetes mellitus,asthama, epilepsy 

PERSONAL HISTORY 

Mixed diet

Married

Normal appetite

Burning micturition

NO Known addictions

PHYSICAL EXAMINATION 

Patient is conscious, coherent and cooperative

•Moderately built and Moderately nourished

•No signs of - Pallor

                       Cyanosis

                       Clubbing

                       Icterus

VITALS

•Temp - 98.4F

•Pulse rate - 82BPM

•RP - 16/min

•BP - 130/70 mm hg

•SPO2 - 98

SYSTEMIC EXAMINATION

CARDIOVASCULAR SYSTEM

•S1, S2 heard

•No murmurs

RESPIRATORY SYSTEM:

•Position of trachea - central

•Breath sounds - vesicular

ABDOMEN

•Shape - scaphoid

•No Tenderness

•No palpable mass

•No free fluid

•Spleen and liver not palpable

CENTRAL NERVOUS SYSTEM:

•Intact

•No focal defect

•No abnormality detected.

INVESTIGATIONS 

BLOOD TEST:

Creatinine:-6.0 gm/dl

Urea:113 gm/dl

Ultrasound

DIAGNOSIS

ACUTE RENAL FAILURE.