First, I want you to tell me your previous creatinine level and an ultrasound of the kidneys. You have high blood pressure and leg swelling that point towards kidney disease, with protein in the urine. There is a possibility that you might have chronic kidney disease, which went undiagnosed. Please elaborate on your history of diabetes, previous hypertension, medication history, and family history.
Thank you.
Investigations to be done:
1. Urinalysis.
2. Urine protein creatinine ratio (UPCR).
3. Glycated hemoglobin (HbA1c) level.
4. Serum uric acid level.
5. Liver function test (LFT).
6. Iron profile.
7. Ultrasound of the kidneys, ureters, and bladder (USG-KUB).
Probable diagnosis:
CKD (chronic kidney disease).
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Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
.. gone through all your reports you sent (attachment removed to protect patient identity) and they are normal.
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