69 year old male with uremic pruritis

6th march 2022

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Chief complaints -

 ~itching all over the body since 20 days

~ burning micturition

History of present illness 

Patient was apparently asymptomatic 20 days back then he developed itching all over the body

There was decreased urine outflow and burning micturition since 15 days 

 No history of fever 

Past history 

There was history of swelling and necrosis of right leg 1 year back for which the pt. Has undergone a surgery 

There is no h/o HTN,DM, TB, epilepsy , thyroid abnormalities 

PERSONAL HISTORY 

Appetite:normal

Mixed diet

Sleep:disturbed 

Bowel movements regular

Bladder movements decreased

On examination- pt. Is conscious coherent and cooperative 

Pallor- present 

 Icterus-absent

Cyanosis-absent

Clubbing-absent

Lymphadenopathy-absent

edema- present 

VITALS

TEMP:afebrile(98.6f)

PR:82bpm

RR:22cpm

BP:140/90mmhg

Spo2:98% at room air

SYSTEMIC EXAMINATION 

CVS:S1 S2 HEARD

CNS:NAD

RESP: normal vesicular sounds

P/A: no palpable masses

Investigations 

Hemogram 

Hb:6.1*(13-17g/dl)

Total count:7900

Neutrophils:70%

Lymphocytes:18%

Eosinophil:5%

Monocytes:7%

Basophils:0

PCV:18.6*(40-50vol%)

MCV:76.3fl

MCH:25.8pg

MCHC:33%

RDW-CV:18.1%*(11.6-14%)

RDW-SD:51.8*(39-46)

RBC:2.42millions/cc*(4.5-5.5)

RFT

UREA:149mg/dl*(12-42mg/dl)

CREATININE:4.7mg/dl*(0.9-1.3mg/dl)

Uric acid:7.9mg/dl

Calcium:9.2mg/dl

Phosphorus:4.8mg/dl

Sodium:138meq/l

Potassium:4 meq/l

Chloride:103 meq/l

Treatment 

Liquid paraffin 

Teczine