Short case 16010016048
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Case -
A 45 year old gentlemen ,from ramanapet who is farmer by occupation came to the OPD with
CHIEF COMPLAINTS:
Bilateral Pedal edema since 3 months
Shortness of breath (SOB) since 3 months
HISTORY OF PRESENT ILLNESS:
Patient was apparently asymptomatic 3 months back then developed pedal edema,
Insidious in onset,
Bilateral ,gradually progressive from involving ankles to limbs (grade1to grade 3 ), pitting type
Aggravated by walking and by end of the day,
Relieved by elevating leg,
Then developed shortness of breath which is insidious in onset,gradually progressive from grade 2 to grade 4 ,aggravated on lying down and on work associated with orthopnea ,paroxysmal nocturnal dyspnea.
PAST HISTORY: known case of hypertension since 2 years
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