Case study I George, 60 yrs old teacher seen by his Nephrologist for lack of uri

Question

Case study I George, 60 yrs old teacher seen by his Nephrologist for lack of urination and gradual decline in his kidney functions. Known diabetic for 20 years, poorly controlled and he is getting dialysis three times a week. Physical examination is significant for high blood pressure and edema. Based on the above history and findings, please answer the following: I. What's the diagnosis for George? 2. Clinical Manifestations for this condition 3. What are the lab tests to confirm the diagnosis? 4. What are the complications of this diagnosis. . Treatment for this condition.

Explanation / Answer

1. The patient has Edema with high blood pressure, having chronic diabetes, and lack of urination is suggesting the Edema he gained is due to the diabetes, now with high blood pressure, the kidney function has significantly reduced that is suggesting the patient has End Stage Renal Disease. That is also due to three times dialysis in a week.

2. Clinical manifestation-

3. Blood tests, Urine tests, sonography, Computed tomography scan, or Kidney biopsy are the suggesting tests for identifying End Stage Renal Disease.

4. The complications of the diagnosis are the Edema condition occurred but use of diuretics does not show. In edema, diuretics significantly decrease the worse-effect of edema

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