72YEAR OLD MALE CAME WITH COMPLAINTS OF SOB , COUGH AND PEDAL EDEMA SINCE 10 DAYS

PATIENT WAS APPARENTLY ASYMPTOMATIC 10 DAYS BACK THEN DEVELOPED PEDAL 

EDEMA PITTING TYPE, COUGH ASSOCIATED WUTH SPUTUM (GREENISH) FOUL 

SMELLING.

H/O OF FEVER,COLD 1 MONTH BACK 

PATIENT NOTICED WEIGHT LOSS SINCE 1 MONTH

FEVER WHICH WAS INSIDIOUS IN ONSET, GRADUALLY PROGRESSIVE NOT ASSOCIATED 

WITH CHILLS AND RIGOR.

NO COMPLAINTS OF CHEST PAIN, COUGH, SOB ,BURNING MICTURITION ,

CONSTIPATION, WEIGHT LOSS, HEAD ACHE, EGIGASTRIC PAIN, BLURRING OF VISION, 

PALPITATIONS, LOOSE STOOLS

 K/C/O HYPERTENSIVE AND DIABETES  ON REGULAR MEDICATION.

K/C/O ALCOHOLIC SINCE 10 YEARS ( WHISKEY 90ML) 





PROVISIONAL DIAGNOSIS  : AKI ON CKD WITH HYPERKALEMIA 


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