A 57 year old male patient with bilateral pedal edema
57 year old male farmer by occupation Came with complaints of fever since 3 days Patient was apparently asymptommatic 4 months back then he developed Bilateral pedal edema, pitting type, insidious in onset, gradually progressive from ankle to below knee Decreased urine output Patient went to the outside hospital were renal function tests were done and he was found to have raised urea and creatinine levels Patient was taken for dialysis (total of 4 dialysis were done). He was diagnosed with hypertension at the same time and is on regular medication( Tab. NICARDIA 10MG). Patient came to our hospital for dialysis and central line placement was tried but failed and hence patient was put on conservative management. Patient now complaints of fever, low grade, intermittent, relieved with medication. He also complaints of cough with expectoration, cold since 4 days. No history of shortness of breath, chest pain, palpatations. He is hypertensive since 4 months Patient takes alcohol (1
