General Medicine Cases

 A 48 year old man, who works as an auto driver, hailing from Chityala presented to the hospital with- • generalized swelling of legs since 10 days. • SOB since 7 days. ( Especially when lying down.) Date of admission - 21/11/21. HISTORY OF PRESENT ILLNESS • Patient was apparently asymptomatic 2 weeks back.  • The patient usually wakes up at around 5am to 6am. • Then after washing his face and brushing his teeth, he goes out for walking for around 30 minutes. • After coming back, the patient resumes with his occupation of driving autos till 9pm with a lunch break at 12pm. • The patient has his food at 9pm and goes to bed early by 10pm. • Around 10 days back, the patient noticed swelling around his left leg while going on his morning walk. • The patient also had a general corn inbetween his 3rd and 4th toes, and attributed the swelling to perhaps being that. • The swelling then appeared on right leg, and then on his two hands all in the span of 3 days. • Later the patient noticed hi

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