45 yr old female with DCMP with EF (56%), ANEMIA under evaluation and TYPE-2 DM
45 year old female patient came to casuality with c/o B/L left leg swelling since 1 and half year and right toe swelling and relieved treatment. Since 1 month she developed B/L upper limb and face along with abdominal distention with decreased urine output since 10 days. She started to experience dyspnea on exertion since 20 days which aggravated to dyspnea at rest since 3 days increased onlying down in supine position. Also C/o non productive cough since 5 days. Treatment history: 1. T. DYTOR 10 MG BD 2. T. MET XL 12.5 MG OD 3. T ATORVAS 40 MG OD 4. SYP ARISTOZYME 10 ML TID 5. T FRUSELAC 50 MG OD DAILY WITH T. METXL 3D 50 MG OD Patient is diagnosed with DM 2 since 2 years and is on T. Glimi M2 BD Personal history: Passed stools 2 days back with reduced urine output. General Examination: Patient was C/C/C No pallor, icterus, cyanosis, clubbing, koilonychia, lymphadenopathy, edema Vitals at admission: PR- 80 bpm BP- 170/60 mmHg RR- 22 cpm SpO2- 98% CVS: S1 S2 +, ...
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