Posts

Showing posts from May, 2023

45 M with abdominal distension and b/l lower limb swelling

Image
Unit 1  AMC bed 5 DOA:29/5/23 45 year old male ,lorry driver by occupation,resident of Nalgonda came to the opd with chief complaints of       Abdominal distension since 4-5 days      Abdominal bloating since 4-5 days      Shortness of breath since 4-5 days      Vomitings since 3 days      B/L lower limb swelling since 15-20 days HOPI  : he was apparently asymptomatic 15 days back then he developed swelling of both lower limbs (extending up to knee ,pitting type)insidious in onset ,gradually progressive, no aggravating and relieving factors . Abdominal distension since 5 days ,insidious in onset ,gradually progressive,no aggravating and relieving factors Associated with bloating ,SOB and vomitings  No h/o chest pain ,orthopnea ,PND,palpitations  No h/o deceased urine output,burning micturition ,fever  Past history   K/c/o DM since 4-5 years on medication Tab Metformin 500mg po BD  N/k/c/o HTN CVA CAD TB EPILEPSY  H/o Alcoholism since 10 years aggrevated 4 yrs back (180ml per day) Perso