41 M with Breathlessness ( CKD )
PRESENTING COMPLAINTS A 41 year male clinically presented to nephrology opd with complaints of : breathlessness of since a month Pedal edema since a month Anuria since a day. HOPI : A 41 year male clinically presented with complaints of breathlessness of grade III MMRC, insidious onset, gradually progressive, not associated with seasonal and diurnal variation, not associated with orthopnea, postural nocturnal dyspnea and chest pain. History of grade II pedal edema since a month insidious onset and gradually progressive, pitting type, not associated with local rise in temperature, and skin changes. History of anuria since a day. PAST ILLNESS : History of bilateral knee Joint pains at the age of 8 years, patient sought for donsultation and started on NSAID, which he used for a year. History of bilateral lowerlimb weakness for which he sought for consultation and was diagnosed with hypokalemia paralysis, that relieved after K+ correction. He had complaints of Headache for which he