SIR WE HAVE DONE FOLLOWING TESTS (CASE HISTORY) PATIENT NAME-PREMALATA BISWAL,AGE -76 YRS,(FEMALE)HAVING LONG STANDING DIEBETIC TYPE-2,COMPLAINED ABT ASCITIC FLUID RETENTION.1ST WE DID U S OF ABDOMEN & PELVIS .RESULT OR IMPRESSION
Her ultrasound findings are suggestive of chronic kidney disease (CKD) however there are many tests which are needed to confirm it.1) Hemoglobin and CBC2) Kidney Function Tests3) Urine routine and 24 hours urinary proteins4) HbA1c levels5) ECG6) EchocardilographyAlso the sugar levels in ascetic fluid are very high indicating that her diabetes is uncontrolled. Accumulation of fluid in abdomen can be a part of diabetic kidney disease as well as of associated heart disease. All these reports are required to know that. Meanwhile, she should reduce her sugar, salt and water intake and take medicines like Las ix or Dy tor if not taking already. Should get in touch of a nephrologist in your city.