Extreme weakness

A 63 year old obese female presented to OPD with complaints of severe fatigue for last several weeks History She is a known case of HTN on Telmisartan 40 + Amlodipine 5mg + HCTZ 12.5 Investigations Her HBA1c, TFT, CBC, LFT, KFT all are normal Serum 25(OH)D, Vit B12 report is awaited Only his USG W/A shows incidental finding of abberant large vessel traversing lower pole of left kidney Advised him for a CECT Abdomen Management Kindly give your valuable opinion on this case

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GERIATRIC CASE WITH .. HEPATOMEGALY .. BL .. RENAL CORTICAL CYSTS .. ABRRENT LARGE VESSELS ACROSS LOWER POLE OF LEFT KIDNEY .. NEED'S CLINICOPATHOLOGICAL EVALUATION WITH.. CTCE STUDY .. SR .. B12 .. IRON ..

Hepatomegaly B/L cortical cysts kidneys Further evaluation is required for diagnosis and treatment

Thank you doctor
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Could be b12 or protein deficiency. Adv homocysteine level

Thank you doctor
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She needs good counselling and sleep

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Refer TO CARDIOLOGIST .FOR BETTER DIAGNOSIS

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CBC, electrolytes , neurological exam X-ray chest

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