65yr old female with APD and Ckd stage 3B

65yr old female ,home maker ,residence of Nalgonda came with c/o abdominal distension and bloating since 4 days
HOPI: she was apparently asymptomatic 10 days ago then she developed fever ,insidious in onset,low grade ,intermittent type ,not associated with chills and Rigors ,no aggravating factors,relieving on medication,associated with body pains.
No h/o burning micturition,headache,cold and cough 
C/o vomitings in these 10 days ,5-6 episode(presently had 1 episode ,with food particles as content ,non projectile ,non bilious ,non blood stained 
C/o burning sensation in oral cavity since 10days(becoz of which she is unable to eat) ,no h/o dysphagia,loss of appetite and weight loss 
No h/o pain abdomen ,constipation or loose stools 
No h/o sob,chest pain ,pedal edema and palpitations and decreased urine output 
Now since 4 days c/o abdominal distension with bloating and belching 
Associated with regurgitation of food ,aggravating on lying down after taking food and no relieving factors 
Past history:
K/c/o DM2 since 6 yrs on regular medication tab.vidagliptin 50mg+metformin 500mg Po/BD
HTN since 6 years on tab telma-H (40-12.5)po/OD


General examination: 
Pt is conscious,coherent and cooperative well oriented to time ,place and person
Vitals :
Temp :afebrile 
PR:80bpm
RR:16cpm
Grbs:138mg/dl
No pallor ,icterus,clubbing ,cyanosis ,lymphadenopathy,oedema 

Systemic examination:
CVS:s1,s2 heard ,no murmurs
RS:BAE+,NVBS +
P/A: distended ,umbilicus :inverted 
Non tender ,no organomegaly 
No shifting dullness and fluid thrill 
Bowel sounds +

Provisional diagnosis :
GERD under evaluation 

INVESTIGATIONS

 
ENDOSCOPY 

HbA1C:6.8%


CUE:

Appearance :clear 

Albumin:+

Sugar :nil

Pus and epithelial cells:2-3 

RBC:Nil


FINAL DIAGNOSIS:

ACID PEPTIC disease- atrophic gastritis with k/c/o HTN and DM since 6years

CKD:stage 3B

Treatment:
1)tab.RAZO -D 40mg Po/OD before breakfast 
2)Syp.sucrafyl-o Po/TID 15mins before food
3)Tab.telma -H 40 po/OD 
4)Tab.vidagliptin 50mg+metformin 500mg BD

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