50year old male with abdominal distension,SOB,pedal edema
A50 year old male farmer by occupation came with CHIEF COMPLAINTS: ABDOMINAL DISTENSION Since5 Days SHORTNESS OF BREATH Since 5 Days B/L PEDAL EDEMA Since 5 days HOPI: Patient was apparently asymptomatic 5 days ago. An asha worker during kallavelugu programme noticed and advised him to go to hospital for yellowish discoloration of eyes 5months ago.So he went to local clinic and advised to use unknown medications for 5 days ,which he used it for 3 days but it was not reduced. Then he went to hospital at khammam and the unknown investigations were done along with endoscopy, medications were given which he used for 5 to 6 days He used herbal medicine (aaku pasaru) for 3 days/ once a week/for 3 weeks Later he came here with complaints of yellowish discoloration of eyes and mild abdominal distension investigations were done 4 months ago n medications given which he used for 3 months All of a sudden the patient developed abdominal pain which was sudden in onset, gradually progressive assoc