Chinthakuntla.Sowmya Rani Roll no:154 3rd semester A 60 years old male patient ,who is not working since 10 years came to casuality with the Chief complaints of 1.Shortness of breath -grade 4 2. Pedal edema - 2 months History of presenting illness Patient was apparently asymptomatic , 2 years back then he had c/o small ulcer over left leg & went to hospital & on regular medications for ulcer Diagnosed CRF & on regular medications 2 months back Patient c/o pedal edema went to local hospital Diagnosed with grade- 2 ,3 pitting Bilateral CRF since then he is having SOB from 15 days Orthopnea present No PND No Chest pain No palpitations C/O decreased urine output No c/o of burning micturition Discontinued medications last 15 days History of past illness No h/o HTN,DM,epilepsy ,TB, Asthma PERSONAL HISTORY Apetite - lost Diet- mixed Sleep- Adequate Bowel- Regular Micturition- Abnor...
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