38year woman With CKD
38 year old woman currently on hemodialysis in our hospital for renal failure. She presented to our hospital 1 month back with the complains of : Dypnea at rest since 5 days Bilateral pedal edema since 4 days She tells me that she has been feeling depression ever since her mother passed away in `1995 due to a medical condition ( reason not known ) who was apparently a known diabetic and a known hypertensive. In 1998, her father passed away because of an unknown cardiac condition. She got married in 2000 to her husband who works at a rice mill industry and owns a Pharmacy store. She has 2 daughters, the elder daughter is 19yrs of age and currently in her Btech 2nd year, 2nd daughter is 17yrs old and is in her inter 2nd year. In 2006 she paid a visit to her dentist for getting a rootcanal done that was when she got diagnosed with type 2 diabetes mellitus and was put on Tab Zoryl 2mg BD. She has been switching from Tab...