18/07/2025
A clinical case:
A patient of 65 years got admitted into IPD through ER with the complaints of SOB for 2 days, palpitation. He is a known case of DM, HTN, H/O Acute NSTEMI, post PCI, ESRD on MHD, maintaining dialysis twice per week. But he missed his last dialysis schedule.
After admission and proper evaluation, he got emergency dialysis support. Today he complained about bleeding from mouth after injury by teeth since afternoon which is painless. He is a smoker.
What will be the differential diagnosis?
(Pictures are taken with patient’s permission)