interpret CXR..SUGGEST DD AND MANAGEMENT PLAN

Interpret CXR....pt. 25 yr male with 15 day history of bipedal edema generalized bodyache mild to moderate ascitis,hepstosplenomegaly..abdomen soft distended mild diffuse tenderness..passing stool and flatus...no history of fever DM HTN or any other illness...serum creatinine 4.6...urine output 900 ml/24hr..cbc not available...

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To look the x ray and given history I think it is case of acute renal failure x ray show pulmonary edema due to fluid overload USG done to rule out kidney status because creatinine level so high And if in USG kidneys are normal then kidney biopsy should be done Presently high dose of diuretic have to given and supportive manegement according to symptoms to be start

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