70 M Born in 1954 in tamil nadu moved to Andhra pradesh (suryapet ) at the age if 14 yrs (1968) and started doing biscuit business since then. Non alcoholic,Chronic smoker- stopped 20 yrs ago as he developed wheeze ,dyspnea on exertion exposure to dust ,cold weather and uses some unknown tablet for it once daily at night time .wheeze and sob subsided 2 years ago Patient has no other comorbidities In August 2022 He developed sudden onset retention of urine with associated symptoms of abdominal distension,chest pain , profuse sweating Taken to general physician - diagnosed with diabetes mellitus and hypertension - Started on medication since then Later on after 10 days patient advocate noticed involuntary movements of right upper limb at rest Since then started Tab syndopa plus Foleys catheterization was done for urinary retention and used to change foleys once in 15 days Patient was referred to urologist where CT scan was done -and noticed ...
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CME CASE PRESENTATION
49 yr male known diabetic came with the complaints of Breathlessness since 1 week B/l swelling of feet since 1 week Cough since 1 week HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 1 week ago then he developed shortness of breath class II of NYHA insidious onset , gradually progressive a/w profuse sweating , a/w paroxysmal nocturnal dyspnea,orthopnea No diurnal variations *No h/o chest pain , palpitations ,syncopal attacks Cough with sputum of mucoid consistency,non blood tinged,non foul smelling No h/o ,fever,sore throat,hoarseness of voice No h/o nocturnal cough B/swelling of lower limbs extending upto knee insidious onset pittting type No h/o Decreased urine output,burning micturition No h/o long standing hours *No h/o abdominal distension ,facial puffiness HISTORY OF PAST ILLNESS No h/o similar complaints in the past Known case of TYPE II DIABETES MELLITUS since 8 yrs Known case of epilepsy with...