A 70 yr old male with swelling of both legs and facial puffiness

September 20, 2022

September -20 ,2022

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Patha Sindhusha

Roll no 117

A 70 yr old male patient toddy climber by occupation and resident of Nalgonda presented to opd with chief complaints of

Swelling in both legs since 20-25 days

Facial puffiness since 20-25 days.

HISTORY OF PRESENTING ILLNESS-

Patient was apparently asymptomatic 3 yrs back. Then he complained of generalized weakness while doing his work which apprently made him discontinue his work.

From past 1 yr he is having constipation 1 episode every 3 -4 days which is occasinally associated with blood which was in minimal quantity. So he visited local doctor with chief complaint of constipation (and he didn't tell about loss of blood in stools back then) . For which the local doctor gave him some medication for constipation which was then temporarily relieved he would have urgency to defecate but would only pass flatus.

There is a history of cough since 4-5 months associated with sputum non blood stained. Excess sputum secretion is present.

He is known to be having intermittent lower leg swelling which would then reduce by itself.

But 25 days back he noticed lower limb swelling upto knees which is pitting type and facial puffiness insidious in onset gradually progressive not associated with chest pain or difficulty in breathing and for which he visited a local rmp for which he was given a tablets and then the edema was subsided temporarily so he went to some other far hospital yesterday where after having his breakfast he alone went to the hospital where he because of travelling and heat he was dizzy and vomited which had food as it's contents non foul smelling non bilious. And after a series of test there he was found to be anemic with hameglobin of 3mg/dl and was referred to higher institution so he came to our opd with cheif complaints of bilater lower limb swelling, facial puffiness and anemia.

PAST ILLNESS-

He is known to have fracture on the left lower limb 30 yrs ago.

PERSONAL HISTORY-

Diet Mixed

Appetite Normal

Sleep Adequate

Bladder and bowel Regular

Allergies None

Addictions- Alchohol regular 90 ml

Cigrattes 20 beedis/day since 30 yrs and stopped consuming since a week.

FAMILY HISTORY-

No known family history