General medicine E-Log of 42 year old patient with HF.
A 42 year old male patient, he is an electrician. came to the casuality. Cheif complaints: 1.shortness of breath since 1 week 2.Abdominal distension since 1 week 3.Fever 4.Bilateral pedal edema up to ankle since 4 to 5 days. 1 year back diagnosed with Tuberculosis used medication for 4 days and stopped. Present illness: Patient was apparently asymptomatic till July 21 when he was admitted here in Kims with symptoms of SOB , pedal edema , with COPD, with ULCER ON LEFT FOOT managed conservatively with diuretics, beta blockers , one episode of AF ( paroxysmal) resolved. Patient continued to consume alcohol 15days after discharge with increased binge drinking since 10days , followed by cough, productive, no diurnal variation , associated with low grade fever and SOB , progressed to grade 4 gradually, associated with orthopnea , with abdominal distension and bilateral pedal edema upto ankle. From the past two days he complains of low grade intermittent fever with generalized weakness and s