A 60YR OLD MALE PT. C/O ABDOMINAL DISTENSION , SWELLING OF LIMBS , FACIAL PUFFINESS AND DIFFICULTY IN BREATHING

November 30, 2022

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60 year old male Pt came with the complaints of

abdominal distension since 15 days

swelling of both lower limbs, upperlimbs

facial puffiness since 4 days

difficulty in breathing since 2-3 days

HISTORY OF PRESENTING ILLNESS -

Patient was apparently alright 15 days back when he developed abdominal distension which developed gradually associated with b/l pedal edema, pitting type (R>L) , upper limbs edema and facial puffiness . Since 2-3 days he has SOB which is of grade II/ III

No h/o fever,

decreased urine output, heamaturia and frothy urine

No h/o chest pain/palpitations/giddiness/ neck pain

H/o CVA (right hemiparesis resolved now) 11 years back when he was also diagnosed with hypertension

H/o hypertension since 11 years on telmikind po/od

H/o diabetes since 5 years on glimi m2 po/bd

H/o right lower limb cellulitis 7 years back

H/o ?right lower limb filariasis

Personal history:

Sleep-normal

Appetite-normal

Bowel and bladder movements-normal