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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 clubbing
*No lymphadenopathy
*B/l pedal edema- pitting type

ON EXAMINATION:-

*Temperature- Afebrile
*Pulse Rate- 89bpm
*BP- 180/110 mmHg
*SPO2-100%

SYSTEMIC EXAMINATION:-

CVS:-

*S1,S2-+
*No cardiac murmur

RESPIRATORY SYSTEM:-

*No Dyspnea


ABDOMEN:-

*Obese 
*No Tenderness
*Bowel sounds- +

CnS:-

*Conscious 
*Speech is normal
*Motor system- Power    R           L
                                            5/5      4/5
                                            5/5      4/5

*Tone- Normal


INVESTIGATIONS:-
















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