78 year old male came to OPD with chief complaints of bilateral pedal edema since 2 months

 A 78 year old male came to OPD with chief complaints of bilateral pedal edema since 2 months


HOPI

Patient was apparently asymptomatic 2 months back then he developed bilateral pedal edema (pitting type) which was sudden in onset and gradually progression.


PAST HISTORY

- Known case of hypertension since 1 year and using medication for it (clindipine)

- Similar complaint of pedal edema an year ago and it was relieved by medication 


No DM

No TB

No Syphilis

No CVA

No CAD

- H/O surgery for renal calculi 5 years back 


Family history.

No significant family history


Drug history

Patient is on clindipine since 1 year


Personal history

Diet - Mixed

Appetite - abnormal

Bowel movements - irregular

Bladder movement - regular

Sleep - adequate

No allergic history

Addictions

Consumes alcohol and tambaku


PHYSICAL EXAMINATION

A. General Examination

Conscious  coherent and cooperative

Moderately built

No pallor

No icterus

No cyanosis

No clubbing of fingers

No lymphadenopathy

Pedal edema


VITALS.

Temperature - Afebrile

Pulse - 80 bpm

Respiration - 

Blood pressure - 150/70 mm of hgo

Spo2 -

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