15 year old boy suffering with CKD and SOB
PRESENTING COMPLAINTS: A 15 yr old boy, resident of Nalgonda, studying 9 th class came to the casualty 6 days ago with c/o SOB History of presenting illness : Patient was apparently asymptomatic 2 months back then he developed fever which was sudden in onset,intermittent associated with chills and subsided on taking medication, which was followed by vomiting (2-3 episodes every day) which occurs after having dinner, it is associated with food particles and not associated with blood He had these episodes for 10 to 15 days. They went to the local hospital in nalgonda and the patient was found to have 62 mg/dl urea level and creatinine level was 8.3mg/dl , so they referred him to Hyderabad hospital, where they had been told that he has CKD, in a day urea level had raised to 135mg/dl and creatinine level had increased to 10.7. They have immediately started him on dialysis. 5 sessions of HD were done and he felt better. 5 days ago he came to the hospital with c/O of shortness of breath