General medicine case

This is online e log book to discuss for patients deidentified health data shared after taking her / guardians signed informed consent     Here we discuss our individual patient problems  through series of inputs from available global online community of experts with an aim yo solve those patients clinical problems with collective current  best evidence based inputs  Date of admission : 06-09-2021 A 28yr old male resident of miryalguda , employee by occupation came to our hospital with complaints of weakness and decreased urine output on 19-06-2021 and got diagnosed as AKI . History of present illness: Patient was asymptomatic till April this year  Patient had history of weight loss(10kgs) since 1 and 1/2 month and decreased appetite and decreased urine output and generalized itching . So he visited global hospital where they diagnosed with renal failure and hypertension. Four sessions of hemodialysis were done here on AKI Later got readmitted on 06-07-21 on CKD on MHD. 10 sessions of