CKD PATIENT CASE
A 27 years old patient is being going through dialysis procedure due to his prior bilateral kidney failure two years back Cheif Complaints Patient experinced with vomiting regularly for 45 days continously, 2 years back. At that time he also noticed that he has Oedema around his both ankles and he has also difficulty on walking normally. History of presenting illness . He has pedal oedema bilaterally of pitting type, after check up with his first doctor he had been recommended to an nephrologist due to his illness in related to kidney disease On checkup he had been diagnosed with bilateral kidney failure 2 year back and also a known case of tuberculosis on urine examination 5 months ago, but on after consecutive urine examination the tuberculosis is found to be negative. Past history * * patient had continuous vomiting episodes for 45 days 2 years back ** patient had p.edal oedema specifically around ankles and now also he has pitting type of pedal edema ** patient is also a known