CASES IN GENERAL MEDICINE A 57 yr male agriculture by occupation came to follow up for dialysis. CHIEF COMPLAINTS :- * Abdominal distension *Burning micturition since 3 days *Vomiting since 3 days HISTORY OF PRESENT ILLNESS:- *Patient was apparently asymptomatic 5 years back, had complaints of polyuria and polydipsia. *1 year back had H/O of left Hemiplegia. *10 days back he had H/O of bilateral pedal edema, SOB and abdominal distension. PAST HISTORY :- *k/c/o HTN, DM-2 since 5 years *Had CVA 1 year back *He had 2 dialysis before coming here TREATMENT HISTORY :- * He was on medication for DM and HTN since 5 years *He was on antiplatelet and physiotherapy for Left Hemiplegia PERSONAL HISTORY :- *He is a vegetarian, stopped Non-veg 1 year back *Bowel movement is Regular *No H/O of alcohol and smoking but occasionally he used to drink Toddy FAMILY HISTORY:- *No familial History GENERAL EXAMINATION:- *Patient was in a conscious state *Pallor-Mild *Icterus present *No cyanosis and cl