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🤖: ### Summary of the Medical Report

Date: 5/1/23
Patient: 58-year-old male
Diagnosis: Nephrology case

History:

• Non-diabetic
• Hypertension (HTN): Present for 6 months
• Chronic Kidney Disease (CKD): Present for 6 months
• Past Medical History:
  • Underwent nephrectomy due to Road Traffic Accident (RTA) in 1989 at CMC Vellore.
  • Left kidney donor.
  • Developed nephrotic syndrome, presumed hypertension-induced FSGS.

Presenting Complaints:

• Coarsening and swelling of feet for 15 days.
• Decreased urine output for 15 days.
• Breathlessness for 5 days.

History of Present Illness (HOPI):

• The patient developed swelling of feet about 15 days ago, which was insidious in onset and progressive in nature. The swelling started in the feet and slowly progressed upwards.
• Decreased urine output for the past 15 days.
• Breathlessness for the past 5 days, initially grade II and now grade III.
• No history of hematuria.
• No history of giddiness.
• No history of cough.
• No chest pain.
• No palpitations.

Investigations Done:

• Not specified in the provided text.

This summary captures the key points from the handwritten medical report, detailing the patient's history, presenting complaints, and relevant medical background.