A 50 year old female pt presented with complaint of cough productive since 2 month with ascitis bilateral edema. Bp 160/90mmhg hemoglibin 5.4mg/dl urea 150 creatinine 4.4 albumin 2.1 sgot/sgpt56/72 ecg have no specific finding his fbs and ppbs 186 and 256 respectivelt his urine rm positive for albumin ,not found any cast rbc and sugar 24 hour urine protein 3 gm/dl xray and hrct are following what are the poosible diagnosis?

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Uremia ,anemia ,ascitis ,edema, hyperglycemia ,proteinuria ,hypertensive Cxray and CT thorax sugg of Bil GGOs and patchy areas of consolidation. Consider bacterial/ tubercular /fungal infection causing ARDS.

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This is a case of DM with Diabetic Nephropathy with perhaps Pulmonary tuberculosis. Short acting insulins, Tab Dytor 10 BD Tab Arkamin 0.1 g BD Tab cal vit d Send sputum for CBNAAT

It's is case of CKD with PTB Do CBC, BNP, TB gold And give Tab Lcin 750 od Tab Abel 40 od Tab Dytor plus od Tab Shelcal HD od Inj Wepox 20000 iu 2 times in a week Inj human insulin 30/70 im 4u in morning 2 u in evening Syp Mayberry XT TDS Urgent dialysis Rule out PTB.....

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It's is case of CKD with PTB Do CBC, BNP, Sputum AFB And give Tab Lcin 750 od Tab Abel 40 od Tab Dytor plus od Tab Shelcal HD od Inj Wepox 20000 iu 2 times in a week Inj human insulin 30/70 im 4u in morning 2 u in evening Syp Mayberry XT TDS Urgent dialysis Rule out PTB.....

Dx is ckd vith fluid overload...plus bl consolidation cause of which is to b still clarified

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