What can it be? Diabetes uncontrolled+Generalised Swelling over face+Dyspnea on exertion

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Generalised oedema in case of diabetes ? Renal failure ? Heart failure ? Liver failure ? Cirrhosis of liver

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? UNCONTROLLED DIABETES WITH.. DIABETIC NEPHROPATHY.. AND.. ANEMIA..

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Uncontrolled diabetes Swelling over face Dysponea on exertion D/d 1 CKD 2 DKA 3 CHF

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Indicates diabetic nephropathy Renal function test, ultrasound of renal area Urine culture and sensitivity, serum creatinine , RBS,to be done

Thanks Dr. Dinesh Gupta, Dr. Kute Ankush ,Dr. Ajeet Singh, Dr. Ramesh Kumar Singh ,Dr. Shivraj Agrawal
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Pt may be in stage of Renal failure ,& Hypertensive Rx Blood Sugar must be controlled ,Adv Blood examination for blood Sugar Fasting and PP 2 HRS , Renal Function Test ,Hba1c, ESR & CBC

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Multi organal failure. Check HBA1C / Renal fu action/ Liver function.

Thank you doctor
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1) Diabetic Nephropathy with ARF 2) CCF 3) DKA Investigate throughly

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ASK FOR CBC ESR RE URINE T3T4TSH RFT MIGHT BE CKD , ANAEMIA

Diabetic kidney disease In ARF ?CCF ?Cardiorenal Syndrome

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Her RBS was 270, BP was WNL. Ordered investigations like CBC, CXR PA, KFT to guide further

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