35 year old male with Diabetic Nephropathy

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CHIEF COMPLAINT- A 35 year old male patient resident of choutuppal and driver by occupation presented to the department with chief complaints of fever along with pain and swelling with pus on the sole of the right foot near the second toe since 10 days. 

HOPI- The patient was apparently asymptomatic 10 days ago. He developed fever which was continuous and along with it he also noticed a swelling on the plantar surface of right foot near his 2nd toe associated with pus.He also had pedal edema on right leg. He visited a RMP ten days ago and was prescribed medications which reduced his fever for a while but did not reduce the swelling. After 3 days he visited the department as his fever didn't reduce and the swelling and the pus oozing had increased. He had no history of night sweats.
PAST HISTORY - 
Patient is hypertensive since 1 year 

Diabetic since 11 years ( initially he used tablets to control diabetes but since 4 years  he is kept on insulin therapy ) 

Pedal edema since 10 days 
Not a known case of asthma, epilepsy, tuberculosis, surgeries.

FAMILY HISTORY - Not relevant 

PERSONAL HISTORY - 
Mixed diet 
Appetite normal 
Blowel and bladder moments normal 
Sleep adequate 
No addictions 

GENERAL EXAMINATION - 
Patient is conscious , coherent, cooperative 
Moderately built 
Well nourished 
Pallor present 
No icterus 
No cyanosis 
No clubbing of fingers 
Pedal edema present 
Lymphadenopathy absent 

INVESTIGATIONS-

DIAGNOSIS - DIABETIC NEPHROPATHY 



 







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