98 Chandana Padi

 A 65 year old male came admitted in hospital  for regular daislysis . Chief complaints: Facial puffiness, pedal odema,shortness of breath  History of presenting illness:- Patient was apparently asymptomatic 2 yrs back The he suddenly developed fever,generalised weakness for which he visited local hospital. After examination and investigations done  Patient was diagnosed with hypertension and renal failure and was referred to another hospital in Hyderabad. There he was treated with medications and patient was almost normal for an year and continued his daily activities. After 1 yr patient stopped his medication and started consuming alcohol and toddy. Then he developed symptoms of fever,severe facial oedema ,pedal oedema ,hypertension,shortness of breath,cough,oliguria,loss of appetite. Now he again revisited the hospital in Hyderabad after examination and investigations he was diagnosed with complete renal failure and suggested to get dialysis done . Patient came to narketpally and ad