23 year old male with left single kidney with generalised weakness
A 23year old male patient farmer by occupation came to casualty with c/o : generalised weakness since 1week. HOPI : Patient was apparently asymptomatic 1week back, then he gradually developed generalised weakness. PAST HISTORY : Patient is not a k/c/o HTN, h/o DM, tb, epilepsy, cad, asthma. -H/O Solitary left kidney only since birth. Patient underwent 3 dialysis in the past. PERSONAL HISTORY : Diet - mixed, Sleep - adequate, Appetite - normal, Bowel and bladder movements - normal. GENERAL EXAMINATION : Patient is conscious, coherent, cooperative well oriented to time and place. No pallor, icterus, cyanosis, lymphadenopathy. VITALS: Temp- 98.6F PR - 92bpm Spo2 - 99% RR - 16cpm GRBS - 110mg/dl Blood Pressure - 110/80mmhg CVS - S1,S2+ no murmurs RS - BAE+, nvbs heard no wheeze, no crepts P/A - Soft, non tender, organomegaly Bowel sounds + CNS - NFND INVESTIGATIONS PROVISIONAL DIAGNOSIS : Chronic renal failure with left single kidney. TREATMENT : 1) FLUID AND SALT RESTRICTIOB
