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50 year old female patient with CRF

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THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE - IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT .HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT . A 50 year old female patient came with the complaint of sob in the morning and pedal edema and facial puffinness since 2days  HISTORY OF PRESENT ILLNESS :-  Patient was apparently asymptomaticasymptomatic since today morning then c/o sob where she was taken to govt hospital and given medication , sob reduced  H/o pedal edema and facial puffinness  No H/o decreased v.o HISTORY OF PAST ILLNESS :-  K/c/o HTN,2 years on Nicardia 20 mgTid/Po, Diabetes mellitus, epilepsy. K/c/o CRF, 7 months on treatment  PERSONAL HISTORY: No loss of appetite Diet:mixed Bowel movements: Regular Addictions: Nil FAMILY HISTORY: No h/o