50F CKD WITH PEDAL EDEMA

 29/10/2026

THIS IS THE CASE OF A 50F HOUSEWIFE WITH CKD, PEDAL EDEMA 1 YR, URINE OUTPUT DECREASED 5 DAYS, PITTING EDEMA.

Demography: 50 yrs / Female / Housewife

Date: 20/10/2026

Chief complaints:

- Edema (swelling of legs - 1 yr)

- Urine output decreased - 5 days

- Pitting edema

HOPI:

Pt was apparently asymptomatic 2 yrs ago then she diagnosed with hypertension and CKD. 1 yr ago she developed mild bilateral pedal edema, initially involving ankle & progressive to leg. Swelling was insidious on onset, gradually progressive, bilateral edema, non pitting, relieved by rest.

1 yr ago she noticed oliguria, progressive nature. Since 8 months ago she was diagnosed with CKD by blood test, 2 times/wk, 4 hrs per session through AV fistula.

Past H/O:

K/C/O HTN since 2 yrs, CKD for 2 yrs - on haemodialysis

N/K/C/O - TB, asthma, epilepsy

Personal H/O:

Appetite ↓, Diet - mixed, Sleep - disturbed, Bowels - normal, Bladder - oliguria - 200 ml/day, Addiction - No

*Family H/o = NO*

*General Examination : O/E*

Pt is C/C/C well oriented to T/P/P.

*P I C C I E*

(-) (-) (-) (-) (-) (+)

Pedal Edema

↓

Pitting edema

*Vitals:*

BP - 160/90 mmHg

RR - 29/min

Temp - 98F

SpO2 - 99% on RA

*Systemic Examination*

CVS - S1 S2 (+)

CNS - NFND

RS - NVBS, BAE (+)

P/A - Soft NT

*AV Fistula examination (Cephalic & Radial vein artery)*

Inspection: surgical scar

No prominent

No redness

Palpation: palpable continuous /

mild, swelling present.

Provisional: CKD Stage 5D on MHD - For AV fistula assessmen