GENERAL MEDICINE : A 46 year old male
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A 46 year old male who is resident of Bhongir and by occupation a Barber came to OPD on 11th of January at 4:10 pm.
CHIEF COMPLAINTS :-
A 46 year old male complaints of :-
- Intermittent fever since 12 days
- Loss of appetite since 12 days
- Pedal edema since 7 days
- Shortness of breath since 7 days
- Jaundice since 7 days
HISTORY OF PRESENT ILLNESS :-
Patient was apparently asymptomatic 12 days back.Then he complained of fever which is low grade, intermittent, on and off episodes and get relieved on medication.
Patient c/o B/L pedal edema present below the knees, pitting type, present since 7days.It was aggravated on standing for long periods and slightly reduced on taking rest.
Shortness of breath since 7 days which is grade 2 (developing shortness of breath while walking).
Patient also c/o loss of appetite since 12 days.
Patient also c/o abdominal tightness and bloating of abdomen.
No History of chest pain, chest tightness, palpitations.
No History of abdominal pain, vomitings, constipation, loose stools.
No History of burning micturition, decreased urine output.
No Head ache, Giddiness, Confusion.
HISTORY OF PAST ILLNESS:-
K/C/O Hypertension since 3 years on unknown medication.
No h/o DM,TB, CAD, Asthma, Epilepsy.
PERSONAL HISTORY:-
Diet - Mixed
Appetite - Normal(Decreased since 12 days)
Bowel and Bladder movements - Regular
Addictions - patient consumes alcohol since 25 years (90ml per day)
Tobacco chewing since 5 years.
FAMILY HISTORY :-
No relevant family history.
