A 70 years old male diabetic and hypertensive patient taking treatment and follow-up for both by MD physician. Apparently alright No symptoms except pitting edema over legs and face Blood pressure is within normal limits. No h/o giddiness, vomiting, headache or fits No tingling and numbness in any region of body Labs: Moderately increased fasting and post prandial blood sugar level Plasma fasting sugar level - 177.0 mg/dl Urine sugar level fasting - absent Plasma post prandial sugar level - 251.0 mg/dl Urine post prandial sugar - present 3+ Serum uric acid level - 3.1 mg/dl Urine Albumin creatinine ratio -0.5 Serum urea - 38.0 mg/dl Serum creatinine -0.9 mg/dl Urine proteins - trace Pus cells - 4-5/hpf No cardiac and related complaints No tenderness in abdomen Questions What can be diagnosis?
Differential diagnosis? To whom patient should be referred Which investigations should…
