A 63 yo Male with Pedal Edema, SOB and Scrotal Swelling
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CHIEF COMPLAINTS: A 63 year old male came to OPD with chief complaints of: Pedal edema since 3 months Shortness of breath since 3 months(grade 2 to grade 3) Scrotal swelling since 1 month HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 3 months back Then he developed b/l pedal edema(pitting type) for which he went to near by RMP and got medication Followed by which he had shortness of breath (grade 2 to grade 3) No c/o Orthopnea, PND, chest pain, Palpitations C/o Scrotal swelling (painless) HISTORY OF PAST ILLNESS: Not a known case of DM/HTN/Asthma/TB TREATMENT HISTORY: Not significant PERSONAL HISTORY: Diet: Mixed Appetite: Normal Bowel & Bladder: Regular Addictions: Alcoholic since 25 years, Non-smoker FAMILY HISTORY: Not significant GENERAL EXAMINATION: No Pallor No icterus No cyanosis No clubbing No lymphadenopathy Edema of feet: present (b/l up to knee) Vitals: BP: 80/60 mm Hg PR: 98bpm, irregular SpO2: 96% on RA GRBS: 142mg% CVS: S1,S2 Heard, no