Short case
45 year old male came to the OPD with Chief complaints of: Bilateral pedal edema since 12days Shortness of breath since 5days HOPI : Patient was apparently asymptomatic 12days back then he developed bilateral pedal edema which was gradual in progression, extended upto knee and is of pitting type. He also developed Shortness of breath which was initially grade 1 and progressed to grade 2 (nyha) Associated with orthopnea H/o loss of appetite since one week and nausea and vomitings three days back (3 episodes) non billious No H/o- fever,burning micturation, diarrhoea decreased urine output No H/o cough, hemoptysis,fever, No h/o chest pain,giddiness , palpitations, decreased urine output, syncopal attacks, No h/o abdominal distension, jaundice vomitings Past history: Not a K/C/o Diabetes Mellitus,Asthma,TB,epilepsy,leprosy,CAD Treatment history Not significant Personal history: Diet:Mixed Appetite:Decreased Sleep-adequate Bowel movements-regular Bladder movements- normal urinary