A 58 yr old male with pedal oedema


This is the case i have seen 

A 58 year old male daily wage labourer from vattikodu who is apparently asymptomatic 5 yrs back.
Then he developed deafness secondary to (?Tympanic membrane perforation) and was fine with it until last year when he developed on & off episodes of giddiness & headache which was attributed to hypotension by a local RMP and was treated conservatively.
(can it be ? Peripheral vertigo)
2 months back he had an episode of fever , generalized weakness & body pains for which he is using analgesics and has on and off pedal edema from then which subsided with treatment by a local RMP.
4 days back he developed pedal edema , burning micturition and SOB which gradually progressed to anasarca associated with abdominal distention ,  increased SOB and decreased urine output 1 day later for which he was taken to a local hospital where he was diagnosed with kidney failure and was referred to our hospital for further management.

No h/o chestpain / palpitations / syncope
No h/o pain abdomen / vomitings / loose stools
No h/o loc / seizures / blurring of vision / diplopia
No other complaints

PAST HISTORY :

Not a k/c/o DM , HTN , Asthma , Epilepsy , CAD , TB

PERSONAL HISTORY :

Mixed diet
Normal sleep & appetite
Occassional alcoholic & smoker from 20 years

GENERAL EXAMINATION :

Pt c/c/c
Pedal edema +
PR : 84 bpm
BP : 180/100 mmhg

SYSTEMIC EXAMINATION :

CVS : S1 S2 + , No murmurs
RS : BAE + , wheeze +
P/A : Soft , NT
Cns :NFND

 





 




















 

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