Kalyan's Elog

58 year old man from mandepally presented with c/o B/L pedal edema since 3 months ,abdominal distention since 2 months ,facial puffiness since 2 months dyspnea on exertion since 1 month,frothy urine since 1 month ,cough with expectoration since 5 days and fever since 1 day  Patient works as a farmer at mandepally and has been having B/L knee joint pains since 5 months for which he has been taking medications and B/L pedal edema extending upto knees since 3 months followed by abdominal distention and then facial puffiness and the dyspnea on exertion and also frothy urine since 1 month  He has been complaining of cough with mild sputum expectoration associated with hemoptysis, non foul smelling and high grade  fever since 1 day  No c/o hematuria,loin pain, pain abdomen, reduced urine output No c/o chest pain,palpitations, dizziness, sweating  He is alcoholic since 20 years 90 ml whiskey 3 times a week his last intake was 1 year back O/E patient is conscious, coher...

60 year old man presented to the casualty with complaints of  dizziness lasting for 2 mins at 11 am  blurring of vision for 2 mins at 11 am Patient works as a farmer at a local village, He presented with the complaints of  giddiness lasting for 2 min along with blurring of vision.   He has no complaints of chest pain, palpitations,sweating,vomiting,headache, no complaints of ringing sensation in his ears, ear discharge . History  ? insect bite 2 years back  for which he received treatment for one day .  History dog bite 15 days back for which he received injections for 3 days. VITALS - PR - 78bpm BP - 200/110mmhg SPO2- 99% RR - 17 cpm Afebrile to touch  GRBS - 178mg/dl CVS - S1,S2+ R/S - BAE+ , clear P/A - soft , non tender  We got his fundoscopy done which showed normal fundus study. ECG- Hemogram- CUE- LFT-  RFT -     Dx-  HYPERTENSIVE URGENCY.