Case Study: A 48-year-old Male Presents with Symptoms of Chronic Renal Failure

Authors

  • Ahmad Hashim Wafa
  • Adbul-Hadi Wahed
  • Muhammad S. Akbari

Keywords:

Chronic renal failure, history, kidney, medication, symptoms.

Abstract

Aim: This study sought to give a detailed account of the patient presenting with persistent fatigue, bilateral lower extremity swelling, and difficulty concentrating.

Methods: This was a case study involving a 48-year-old adult male who is a construction worker. The patient presented himself to Sardar Mohammad Dawood Khan hospital on 21st September 2023. The complaints included persistent fatigue, bilateral lower extremity swelling, and difficulty concentrating. Further diagnostic investigations, such as blood tests, were warranted to determine the underlying cause and severity of his condition. Nephrology consultation was essential for the development of a comprehensive treatment plan tailored to address the specific factors contributing to Mr. Mitchell's chronic renal failure.

Results: The laboratory findings aligned with the clinical presentation and supported the diagnosis of chronic renal failure. The elevated BUN and creatinine levels, along with proteinuria and hematuria, were indicative of impaired kidney function. Additionally, the abnormal glucose levels accentuated the importance of addressing diabetes management in the overall care plan.

Conclusion: This case highlighted the complexity of managing chronic renal failure. It requires a comprehensive, multidisciplinary approach that addresses the underlying causes, optimizes medical management, and promotes lifestyle modifications.

Recommendations: This study recommends coordination of care among healthcare providers, including primary care physicians, nephrologists, dietitians, and other specialists. The coordination of care is crucial for optimizing outcomes and improving patient's overall quality of life. The study also recommends continuous check-ups and screening for related conditions among close relatives of a patient presenting with similar symptoms. Additionally, patient education regarding the importance of consistent medication use and potential side effects is crucial for long-term health management.

Author Biographies

Ahmad Hashim Wafa

MD, Sardar Mohammad Dawood Khan Hospital, Kabul.

 

Adbul-Hadi Wahed

MD, Sardar Mohammad Dawood Khan Hospital, Kabul.

Muhammad S. Akbari

Nephrologist, Ariana Medical Complex

References

Brophy, P. D., Shoham, D. A., Charlton, J. R., Carmody, J. B., Reidy, K. J., Harshman, L., ... & Askenazi, D. (2015). Early-life course socioeconomic factors and chronic kidney disease. Advances in chronic kidney disease, 22(1), 16-23.

Evans, P. D., & Taal, M. W. (2015). Epidemiology and causes of chronic kidney disease. Medicine, 43(8), 450-453.

Fan, S. L., & Bai, S. (2020). Urinalysis. In Contemporary Practice in Clinical Chemistry (pp. 665-680). Academic Press.

Hamrahian, S. M., & Falkner, B. (2017). Hypertension in chronic kidney disease. Hypertension: from basic research to clinical practice, 307-325.

Levey, A. S., Eckardt, K. U., Dorman, N. M., Christiansen, S. L., Hoorn, E. J., Ingelfinger, J. R., ... & Winkelmayer, W. C. (2020). Nomenclature for kidney function and disease: report of a Kidney Disease: Improving Global Outcomes (KDIGO) Consensus Conference. Kidney International, 97(6), 1117-1129.

Meersch, M., Schmidt, C., & Zarbock, A. (2016). Patient with chronic renal failure undergoing surgery. Current opinion in anaesthesiology, 29(3), 413-420.

Merzah, K. S., & Hasson, S. F. (2015). The Biochemical changes in patients with chronic renal failure. International Journal of pharma medicine and biological Sciences, 4(1), 75-79.

Padmanabhan, A., Gohil, S., Gadgil, N. M., & Sachdeva, P. (2017). Chronic renal failure: an autopsy study. Saudi Journal of Kidney Diseases and Transplantation, 28(3), 545-551.

Romagnani, P., Remuzzi, G., Glassock, R., Levin, A., Jager, K. J., Tonelli, M., & Anders, H. J. (2017). Chronic kidney disease. Nature reviews Disease primers, 3(1), 1-24.

Published

30-01-2024

How to Cite

Wafa, A. H., Wahed, A.-H., & Akbari, M. S. (2024). Case Study: A 48-year-old Male Presents with Symptoms of Chronic Renal Failure. Journal of Health, Medicine, and Clinical Studies, 3(1), 1–8. Retrieved from https://gprjournals.org/journals/index.php/JHMCS/article/view/234