59 yr old man with pedal edema and dyspnoea since 3 months
A 59 yr old male patient came to OPD with cheif complaints of B/L pedal edema and sob since 3 months HOPI: patient was apparently asymptomatic 3 months ago then he developed B/L pedal edema which is pitting type which is aggravated towards end of the day and subsides in morning and sob(Grade:2) for which he went to private hospital in suryapet and used medication prescribed by them but he was not satisfied then he went to NIMS in Hyderabad 15 days ago for which they diagnosed him with chronic renal failure and done 2 rounds of heamodialysis on 23.07.22 and 24.07.22 ,the patient came to us for follow up because our hospital is near to his house ,now he is undergoing heamodialysis in our hospital.He also has Periorbital puffiness PAST HISTORY: Pt had undergone Coronary artery bipass surgery 12yrs ago for IHD and subsequently also developed DM2 and HTN. Pt had undergone cataract surgery in Right eye 6 yrs back and left eye has immature senile cataract since 2 yrs but being prevented f