67 YRS OLD MALE WITH SOB AND FEVER-CKD
Raised JVP link
Apical impulse
GENERAL PHYSICAL EXAMINATION-
Vitals-
Heart rate- 86bpm
Respiratory rate- 30cpm
Temperature- 102 F
Blood pressure- 130/70 mmHg
Mild pallor present
No signs of Cyanosis, clubbing, edema, lymphadenopathy
Systemic Examination-
Cardiovascular examination-
JVP raised, Apical impulse seen on 5th left intercostal space
S1S2 heard, Apex beat is felt at 5th intercostal space 1.5cm lateral to mid clavicular line
Diagnosis- CKD on MHD