45 YEAR MALE WITH SHORTNESS OF BREATH , LOSS OF APPETITE AND LOW BACK ACHE
45 YEAR MALE WITH SHORTNESS OF BREATH,LOSS OF APPETITE AND LOW BACK ACHE 29/12/2021 4.43PM A 45 year old male patient presented to the OPD with cheif complaints of shortness of breath GRADE II-III since 20 days,loss of appetite since 20 days and low back ache since 5 days HISTORY OF PRESENTING ILLNESS 45 year old male patient resident of nalgonda, mechanic by occupation. He was apparently asymptomatic 35 days back ,then he developed shortness of breath for which he went to the local hospital ,after further investigation diagnosed with chronic kidney disease and underwent dialysis. (4 times) PAST HISTORY: No similar complaints in the past MEDICAL HISTORY: He is a known case of hypertension (since 1 month) ,using Tab NICARDIA 10mg Not a known case of diabetes, tuberculosis, epilepsy, asthma. FAMILY HISTORY: No significant family history. PERSONAL HISTORY: Mixed diet REDUCED APPETITE Adequate sleep Regular bowel and bladder movement Patient consumes alcohol 1 quarter of whiskey per d