45 yr old male with shortness of breath
Chief complaints:: A 45 year old man came to the casualty complaining of shortness of breath since 10 days.and swelling of lower limbs since 10 days History of present illness::: ..He was apparently asymptomatic six years ago, then he had an episode of fever for which was admitted to the hospital. . He was diagnosed with malaria. .He was diagnosed with Diabetes Mellitus as well. Then, 3 years ago , he had an another episode of fever for which he consulted a physician He was found to have Viral Pyrexia and was diagnosed with Hypertension. Then around 1 year ago , one morning he had an episode of weakness of the right arm for which he was advised to undergo physiotherapy. After 6 months of physiotherapy, the family thought he might get dependent on it so discountined. On September 2nd 2021, he came to the casualty with complaints of generalised swelling and shortness of breath since 10 days. Which was insidious in.onset gradually progressive from grade 2 to 3 more common white ea