LONG CASE 50yr old male patient came to casuality with cheif complaints: Shortness of breath since -10days Swelling of upper and lower limbs since-6days Decreased urine output since - 6days HISTORY OF PRESENT IllNESS: -patient was apparently asymptomatic 1year back the he had shortness of breath which is intermittent type and then he was also diagnosed with CKD 1year back -10days back he had sudden onset of SOB which is gradeII gradually progressive to grade IV -orthopnea present -paroxysmal nocturnal dyspnea present swelling of both upper and lower limbs . Lower limb edema which is Pitting type upto thigh PAST HISTORY: -History of fall from tree 10 years ago and then onwards he developed backache and neckpain . -3yrs back he had fever ,cough,loss of appetite for 2months and had been diagnosed with tuberculosis and diabetes. -he took anti tuberculosis therapy for 6months and on OHA since then. -SOB with wheeze (since 3 years) on and off and with CKD 1 year ago.
Comments
Post a Comment