69 yr old male with Bilateral Hydroureteronephrosis
A 60 yr old male came to OPD with c/o pedal edema since 10 days H/o poor stream urine + H/o nocturia + 5-6 times H/o increased frequency + 10-15 times H/o urgency + Patient was apparently asymptomatic 1 and half year back then he developed spontaneous pain and swelling in the right leg for which he was operated for the same ; no history of trauma to leg Patient has history of NSAID abuse for 1 year due to severe leg pain Past history : N/k/c/o DM,HTN,ASTHMA,CAD, EPILEPSY Family history : No significant family history General examination : No pallor icterus cyanosis clubbing, lymphadenopathy VITALS AT ADMISSION : Temperature : AFEBRILE PR: 82 SPO2:92 RR: 16 B.P. : 110/80 C.v.s: s1 s2 heard no murmurs RS: BAE present CNS: NAD Diagnosis: NSAID induced nephropathy PLAN of treatment : 1. Fluid restriction (<2lit/day), salt restriction (...