2nd internal paper
55 yr old male with polycystic kidney disease
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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