KIDNEY

dear doctor , 
i have a patient age45, complaning of pitting edema on legs , 
loss of appetite , nausea.

o/e 
bp- 140/90
pallor ++
rs/cvs -nad

investigations:
blood urea- 70
s.creatanin - 4.0
hb- 11.3
esr - 120
urine : pus cell 7-8
and patient have proteine in his urine

kindly give me your valubale comment , 
and treatment .......


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