85YEAR OLD MALE WITH SHORTNESS OF BREATH ,PEDAL EDEMA AND DECREASED URINE OUTPUT

March 07, 2021

Dr Mohitha
Dr supriya
Dr Sanjay
Dr Soumya
Dr Amrutha

Dr Durga krishna PGY1
Dr Ajith Kumar PGY2
Dr Laxma Reddy PGY3
Dr Manasa PGY3
Dr Vijayalaxmi (asst proff)

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Here is a case i have seen:

85year old male came to casuality on 4/3/21 with
C/O pedal edema since 7 days
       Shortness of breath since 7 day
       Abdominal distension since 7 days
       Decreased urine output since 7 days
Patient was apparently asymptomatic 1 year back , then developed pedal edema,which was insidious onset ,gradually progressive ,relieved with medication from RMP.H/o on and off episodes of pedal edema since 1 year.
From 1 week there is gradual progression of pedal edema up to thighs(gradelll)
H/O shortness of breath since 7 days which was insidious in onset gradually progressed from grade l to ll,increased on exertion,relieved on rest ,associated with wheeze. No orthopnea ,no PND,no postural variation.
H/O abdominal distension since 7 days
H/O decreased urine output since 7 days

No h/o fever,cough,burning micturition,chest pain,palpitation,loose stools and vomitings.No loss of appetite,no loss of weight.

Past History

Not a k/c/o DM,HTN,CVA,CAD,TB,ASTHMA,EPILEPSY

Personal history

Mixed diet

Appetite normal

Sleepae

General examination
Patient conscious,coherent,co-operative
pallor,icterus