New admission
Amc bed 3
48 year old male Patient was apparently normal 20 days back.Then he developed abdominal distension which was insidious in onset and gradually progressed to present size.
No complaints of pain abdomen.
He developed bilateral pedal edema since 15 days which is pitting type and extending till the knee joint.
He has decreased urine output since 10 days.
No complaints of burning micturition.
History of shortness of breath since
10 days, insidious in onset, gradually progressed from grade 1 to grade 3 .SOB increased on exertion and relieved on taking rest.No orthopnea .No PND.
He gave history of blood in stools since 5 days -- blood at the end of defecation.
Not associated with pain ,no mass per rectum.
History of loose stools since 4 days,4-5 episodes per day.
No history of fever, vomiting,chest pain,giddiness.
PAST HISTORY :
History of jaundice in the past- 2 years back and 6 months back and was managed conservatively with medication.
K/c/o Hypertension since 10 years, initially was on T.TELMA 80 mg which was later reduced to T.TELMA 40 mg and now the patient is on T.amlong 5mg and atenolol 50mg
N/k/c/o DM-2,TB,CAD,CVD
Provisional diagnosis - decompensated chronic liver disease
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