Akash J

  Chief complaints::   A   45 year old man came to the casualty complaining of  shortness of breath since 10 days. swelling of lower limbs since 10 days HISTORY OF PRESENT ILLNESS : ..He was apparently asymptomatic  6  years ago, then he had an episode of fever for which was admitted to the hospital. . He was diagnosed with malaria 6years back. .He was diagnosed with Diabetes  6years back 3 years  ago  he had an another episode of fever & He was was diagnosed with  hypertension Then around 1 year ago , one morning he had an episode of weakness of the right arm for which he was advised to undergo physiotherapy.  After 6 months of physiotherapy, the family thought he might get dependent on it so discountined. On September 2nd 2021, he came to the casualty with complaints of generalised swelling and  shortness of breath since 10 days. Which was insidious in.onset gradually progressive from grade 2 to 3 more common white eating not associated with orthopnea and pnd. Swelling of both lo