OSCE question for chronic kidney disease , maintenance hemodialysis with anemia and Hypertension.
I presented the case of A 60 year old male, who is a resident of Nalgonda ,farmer by occupation came with Chief complaints -Pedal edema since 3 months -shortness of breath since 20 days - decreased urine output since 15 days History of presenting illness -The patient was apparently asymptomatic 3 months back then developed bilateral pedal edema initially extending to ankle Gradually progressed up to thighs which worsened during last 15 days. -Decreased urine output since 15 days, not associated with frequency, urgency burning micturation. -Grade 3 shortness of breath, no aggravating and relieving factors. - previously patient underwent eight sessions of hemodialysis. PAST HISTORY -Known case of hypertension since 6 months. - history of fall from toddy tree 6 months ago . Personal history: -Occasionally consumes alcohol - smokes tobacco. My OSCE question: question: ROLE OF NSAIDS in AKI or CKD : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4034033/ Answer : NSAIDs Role in AKI -A