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PAST HISTORY : The following information for the patient:
Name:Roque De Sousa
Age: 78 years
Gender: Male
Address: H.no 5, Curpavaddo, Cortalim Goa
City:
Country: India
Postal Code:403710
Phone:09764534894, 0832-2550281
Email: Souza Engineers 49@ yahoo.com
Blood Report: Please make sure the following items are covered in the latest blood report:
Date of Test (dd/mm/yyyy): 04/03/2013
1. Hemoglobin: 10.0 gm%
2. Blood Urea: 88.7 mg/dl
3. Serum Creatinine: 6.45 mg/dl
4. Serum Potassium: 3.2mm01/L
5. Serum Phosphorus:-------
6. Serum Uric Acid:7.8 mgms%
7. Serum Calcium: 8.6 mgms%
8. Serum Sodium: 134 mm01/L
9. Blood Sugar: 122 mgms%
10. TLC:
11. DLC:
Ultrasound scan: report is also very helpful in measuring the size of both kidneys. ---attached
You may scan any or all of these reports and send them as attachments or simply write the readings beside the above parameters. Please keep the attachment file size less than 1MB.
Additional Questions: In addition to these reports, the following questions are very helpful in gauging the condition of a patient:
1. How is your appetite? No Appetite
2. Is there any constipation or loose stool? Previously loose stool now dry stool
3. Is there any nausea or vomiting? Sometimes
4. Is there swelling? (on feet, legs, face etc.) yes
5. Do you have breathlessness? First yes, but now no
6. Do you feel weak? Yes
7. What are your liquid intake and output details? 800ml
8. Are you experiencing itching? Yes
9. What is your current Blood Pressure? (systolic and diastolic) 120/90
10. Are you diabetic? Yes
11. Are you allergic to any food, medicine, weather etc.? No
12. Any family history of kidney disease? Yes my brother had
14. Are you on dialysis? If yes, is it Haemodialysis or Peritoneal? Yes Haemodialysis
15. If on Haemodialysis, what is the frequency per week? 2 times a Week