45/M with abdominal distension and pedal edema
Case: 45 year old male complaints of abdominal distension and b/l pedal edema (pitting type) , shortness of breath and scrotal swelling Chieftain complaints Patient complaints of Abdominal distension B/l pedal edema Shortness of breath Scrotal swelling Since 25 days History of presenting illness Patient was apparently asymptomatic 6 years back then he had c/o multiple swellings over chest for which he went to hospital and was diagnosed as diabetic and started starting medication since then 2 years back when he went for routine checkup he was diagnosed as hypertensive and started taking medication 6 months back patient became unresponsive and speech was reduced and was taken to local hospital where he was found to have low Grbs (27mg/dl ) and also found to have jaundice and was advised to stop alcohol consumption Then 25 days back he developed scrotal swelling , pedal e...