A 45 year old male with SOB and edema
December 30, 2021 45 male with SOB @rest HOPI- Grampanchayat worker came to casualty with c/o SOB at rest since 4 days, anasarca since 4 months Pt was apparently asymptomatic 3 years back and had h/o chronic alcohol intake- had sudden onset involuntary movements of b/l UL, LL lasted for 15 min and frothing from mouth with uprolling of eyes (+) with no post ictal confusion/involuntary micturition/defecation Taken to a hospital where MRI was done and pt advised to stop taking Alcohol, started on T.Eptoin 100mg po/bd since then. Then he had episodes of 5-6 since 2 years 4 months back, while he was lying on the bed, he had a seizure and fall from bed leading to fracture of right hip Then pt was taken to hospital and said to have low Hb and renal failure .3 units PRBC tranfusion was done 4 months back and then pt developed pedal edema which was insidious in onset, gradually progressive to anasarca in 4 months SOB- sudden onset, rapidly progressive with class 4(NYHA classifica