2nd internal paper

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65 year old with multiple ulcers over body

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55 yr old male with polycystic kidney disease

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 55 Yr old male, granite cutter by occupation presented to casualty due to swelling of both the feet. Chief complaints:  Swelling of both the feet and shortness of breath from past 2 months. 𝓗𝓲𝓼𝓽𝓸𝓻𝔂 𝓸𝓯 𝓹𝓻𝓮𝓼𝓮𝓷𝓽𝓲𝓷𝓰 𝓲𝓵𝓵𝓷𝓮𝓼𝓼 :   Pt. Was asymptomatic 3 months back then he developed " wet cough ". ( on and off type)  2 months back he developed shortness of breath while doing work.  It was aggravated by work and not relieved by meds.  He also had pedal oedema ( non pitting type) and facial puffiness   since 2 months.  No h/o blood vomiting, no h/o fever.  Past history:  He got his right eye hit by a hard stone due to which he lost his  right eye vision permanently.  He's not a known case of TB/ DM / ASTHMA / epilepsy.  Personal history:  Mixed diet  -Reduced appetite  Adequate sleep -Irregular bowel movements  -Consumes Alcohol and tobacco from past 30 years.  -Pt. has Burning m...
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