A 65 YEAR OLD MALE
A 65 Y/O MALE PATIENT CAME TO THE CASUALTY IN AN UNRESPONSIVE STATE HOPI: THE PATIENT WAS APPARENTLY ASYMPTOMATIC ON 02-SEPT-2021. THEN HE DEVELOPED PEDAL EDEMA WHICH WAS INSIDIOUS IN ONSET GRADUALLY PROGRESSIVE B/L PITTING TYPE UPTO THE KNEE ASSOCIATED WITH DECREASED URINE OUTPUT AND DECREASED APEPTITE FOR WHICH HE APPROACHED LOCAL RMP AND GOT TREATMENT ON 08-SEPT-2021 MORNING HE WOKE UP FOR MICTURITION AND WHILE COMING BACK TO ROOM HE HAD SUDDEN GIDDINESS AND LOSS OF CONSCIOUSNESS. HE WAS TAKEN TO NALGONDA HOSPITAL WHERE HE WAS TREATED AND REFERRED TO KIMS NARKETPALLY PAST HISTORY: NOT A K/C/O DM, HTN, TB, ASTHMA PERSONAL HISTORY: Appetite-Decreased since 1 week Diet- Mixed Bowel movements- irregular Decreased micturition for 1 week Chronic alcoholic, last binge was 1 week back. Previous history of Smoking, stopped 20 years back. O/E: PT WAS UNRESPONSIVE WITH ALTERED SENSORIUM BP - 150/100 MM HG PR - 100BPM RR-21 CPM SPO2 - 95% GRBS - 77 MG/DL SYSTEMIC EXAMINATION : CVS - S
