55yr old with h/o anuria and fever
Chief complaints A 55 year old female presented to casualty with c/o of anuria since yesterday night HOPI- Patient was apparently asymptomatic 1 year ago , when her sister died she cried a lot , felt weak and was taken hospital , routine investigations were done and was told she had kidney problem and was referred to kamineni I/v/o dialysis and was admitted for 2 sessions of dialysis .Urology opinion was taken for ?obstructive uropathy , ?kidney operation was done ,used medication for 3 months and the symptoms were relieved H/o nsaid use for 1year h/o pedal edema and facial puffiness 6 months ago . Sob not present Comorbities - hypertensive since 6 months Headache (frontal since 2 months ) H/o fever since 4 days associated with chills H/o anuria since 1 day H/o vomitings 1 episode (non projectile,non bilious ),food as contents No h/o hematuria , frothy urine No h/o cold , cough , loose stools , burning micturition Family history Not significant Personal history Occupat