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40 M C/o weaknesses of body since 1 month

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40 yr male  Pt came to the opd with C/o weakness of the body since 1 month  Hopi : pt was apparently asymptomatic 4 yrs back then he developed headache and weakness of body . So , he went to the local doctor and was diagnosed as hypertension. But patient was not taking any medication. So, he again developed weakness of the body since 1 month .  Weakness is associated with the the dizziness and sweating .  No H/0 nausea , vomiting , burning micturition, constipation .  Past H/o : k/C/o HTN since 4yrs but not taking any medication                    N/k/C/O DM , Asthama , TB , epilepsy, cva , cad ,thyroid.  General examination: pt. Was conscious, coherent and cooperative moderately built and well nourished.  General examination; No pallor ,  icterus,cyanosis, clubbing,pedal edema , no lymphadenopathy Vitals  Temp- afebrile  PR - 90 bpm BP- 170/100mmHg RR- 16CPM Systemic examination CVS- S1,...
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A 55 yr old patient came to the Opd with Chief complaints of B/L swelling of legs since 1 week

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 A 55 yr old male  came to the  Opd with Chief complaints of B/L swelling of legs since 1 week. HOPI: patient was apparently asymptomatic 2 months back.then he developed fever for which he went to local RMP . Then 1month back he had trauma to left leg.for which he went to local doctor and used some antibiotics. Then he started  developing  bilateral pitting type of edema intially below the knees now progressed above the knees for which he went to NIMS hospital in Hyderabad and undergone 6 session of hemodialysis . patient also developed SOB grade 2.then patient went back to home. Then 7days back he again developed swelling of legs . For which he came to Kim's hospital where he has undergone 3 session of hemodialysis.then at the same time he developed hypertension for which he was on arkamin 0.1mg bd . 12 years back he underwent surgery for the swelling on the head . Daily routine: .He wakes up at 7:00am in the morning and take breakfast at 9:00am .after that he ...
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