GENERAL MEDICINE
GENERAL MEDICINE. M.YASHWITHA. ROLL.NO:73. 35 F WITH AKI ON CKD A 35 year female, resident of manipaka, came to casualty with complaints of bilateral pedal edema since 20 days, decreased urine output since 20 days, Facial puffiness , shortness of breath ( a/w orthopnea and PND ) .. H/O fever spike +, 10 days back, not associated with chills and rigor, subsided on taking medication. C/o cough with expectoration, (yellowish in colour). Pt was apparently asymptomatic 2 months back then she developed chest pain for which she visited local hospital in miryalaguda , on evaluation she was diagnosed to have chronic kidney disease and low hemoglobin, 2PRBC Transfusions were done After PRBC transfusion she developed b/l pedal edema, which subsided on medication., • 20 days back she developed b/l pedal edema, reduced urine output, sob a/w orthopnea, and PND, and facial puffiness. •10 days back she developed fever a/w chills and rigor, which subsided on medication. 1 PRBC transfusion done in