56 M with Pedal edema , SOB and Altered sensorium.
A 56 year old male patient daily waged labourer and farmer by occupation presented with c/o altered sensorium since 2 days decreased urine output, pedal edema, and shortness of breath since 4 days. Patient was apparently alright 16years back later he developed jaundice for which patient initially took some herbal medication and as the patient did not felt any improvement he went to local doctor and took some medication. Then he was incidentally found to have low platelets for which SDP was done ( yellow coloured blood as in terms of patient) and diagnosed with diabetes and adviced OHA. 4-5 years back patient feels generalised weakness, easy fatigue, and loss of apatite which made him to stop his daily labour work and started taking rest in home. Since 1 year his symptoms are aggravating. In January 2020 patient developed swelling in rt gluteal Region and was diagnosed with right gluteal abcess for which Incision and drainage was performed. He also had pedal edem...