Sahil Dalal - Roll no 16
60 yr old male with HTN urgency.... 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 HOPI : Patient was apparently alright 15 days back when he developed abdominal distension which developed gradually a/w 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 telmibind amh 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 Addictions : Alcohol: occassiona