A 45 year old female patient residence of kattangur came to opd with
A 45 year old female patient residence of kattangur came to opd with Cheif complaints : -generalised body pains since 3 months - generalised swelling of body since 1 month -shortness of breath since yesterday morning History of presenting illness: Patient was apparently asymptomatic 3 months back and then developed generalised body pains since 3 months which is pricking type and aggravated while doing daily routine work and walking and not relieved on medication C/o of generalised swelling all over the body 1 month back which is gradually progressive and swelling in legs is aggravated during walking and during nights and not relieved on medication C/o Shortness of breath from yesterday Morning which is sudden in onset which is of grade 2 aggravated during walking and relieved by taking rest. No H/o palpitations and chest pain No H/o burning micturition, decreased urine output. No H/o fever and headache. Past history: She is a known case of diabetes since 3 years and know