35 year old male with SOB and Pedal edema
Case presentation: 35 year old male labourer by occupation who is the resident of nalgonda presented with pedal edema since 1 month and sob since yesterday Patient was apparently asymptomatic 1 month back later he developed pedal edema Which was gradual in onset progressed to knee , associated with facial puffiness then he went to chityala and he has taken the medications which was prescribed by local doctor ,symptoms got relieved. Then yesterday night he developed pedal edema associated sob which was sudden in onset No aggrevating and relieving factors For which his wife fed 1 bread and milk and later he vomited. No h/o chestpain No h/o palpitations Past h/o : No similar complaints in past N/k/c/o DM , HTN ,ASTHMA ,CAD, EPILEPSY,TB Personal h/o : sleep adequate Diet mixed Decreased urine output since morning Addictions : Patient started consuming alcohol since 17 yrs ( unadulterated tody and whis...