HISTORY OF PRESENT ILLNESS: , This is a 70-year-old female with a past medical history of chronic kidney disease, stage 4; history of diabetes mellitus; diabetic nephropathy; peripheral vascular disease, status post recent PTA of right leg, admitted to the hospital because of swelling of the right hand and left foot. 
HISTORY OF PRESENT ILLNESS : , This is a 70 - year - old female with a past medical history of chronic kidney disease , stage 4 ; history of diabetes mellitus ; diabetic nephropathy ; peripheral vascular disease , status post recent PTA of right leg , admitted to the hospital because of swelling of the right hand and left foot .