Bilateral lower limb swelling in 42 yr old man
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A 42yr old male resident of chityala electrician by occupation presented to the Opd with chief complaints of
Swelling of the lower limb upto ankle since 5 days.
Shortness of breath since 4 days.
Numbness and tingling sensation of limbs with associated weakness since 4 days.
History of presenting illness :
Patient was apparently asymptomatic 3 years back when he developed generalised anasarca sudden in onset and gradually progressive in nature for 5 days, for which he went to a tertiary care hospital and was diagnosed with chronic kidney disease with associated hypertension( serum creatinine was around 5mg/dl) for which he was on medication for 6 months. On subsidence of the symptoms he stopped the medication.
On 1/6/23 he came to the opd with complaints of lower limb edema upto ankle since 5 days with associated shortness of breath ( grade 4 according to NYHA Classification)for 4 days, which was insidious in onset, gradually progressive in nature.
Tingling and numbness in the legs for 4 days which made him difficult to walk.
Past history:
Known case of hypertension since 3 years.
Not a known case of DM/CAD/ASTHMA/TB/EPILEPSY
Personal history:
Decreased appetite since 10 days
Adequate sleep
Normal bowel and bladder movements
Addictions - smoking history for 10 years 3 years back, alcohol consumption occasionally
General examination
Vitals :
Systemic examination :
CVS system
Respiratory system
Abdomen
CNS
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