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Case history

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A 60 years old female,presented in OPD  with a chief complaint of pain in lower back region on right side since 2 years. PRESENT ILLNESS: - Patient  was apparentaly asymptomatic  2 years back when she noticed pain in lower back region - Pain increased during time  - Patient was diagnosed with a kidney problem and suggested a dialysis - Patient also experiences SOB - Patient is undergoing dialysis since 2 months weekly twice  - Patient complaints of severe body pains   PAST HISTORY: - Patient  accidentally had a thorn prick in left eye and was asymptomatic for 3 months and then  noticed oozing of pus . - Patient consulted a doctor and was referred to a surgery (removal )  - Known  case of hypertension  - Not a Known case of CAD,Asthma, TB,Epilepsy,Thyroid disorder  PERSONAL HISTORY: Diet: Mixed diet  Sleep : Adequate  Bowel and bladder habits :Normal  Addictions:No  Appetite: Normal  FAMILY HISTORY: - No similar complaints in the family  DRUG HISTORY : - Patient was under medication bef