1601006007 SHORT CASE
1601006007 SHORT
E-LOGS OF MEDICINE
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A 52 year old male farmer my occupation came to the opd with chief complaints of
-Bilateral swelling in lower limbs since 3 days
History of present illness:
The patient was apparently asymptomatic 1 week back then he developed bilateral swelling over legs since 1 week is which started near the foot and gradually progressed to the knee.
{pitting type which resolved in between and again started 3 days back}
Past history:
He had similar complaints in the past for which he went to a local hospital and was advised on taking salt and water restricted diet.
Patient on telmesartan for hypertension since 2 years.
Personal history:
He is a chronic alcoholic and smoker.
EXAMINATION:
Bilateral pedal edema pitting type (GRADE 2) found till knee on general examination.
Respiratory system :
Bilateral air entry present
Normal vesicular breath sounds heard.
CVS examination :
No thrills
s1 s2 heard
No murmurs.
Abdomen examination :
no hepatomegaly or splenomegaly.
No positive findings found other than edema.
INVESTIGATIONS:
RFT:
HEMOGRAM:
LFT:
Chronic Renal failure
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