28 yr old male with body pains

A 28 year old patient, farmer by occupation, a resident of Aakaram came to casualty with

C/o - bilateral upper and lower limb edema 
          Body ache

HOPI—

Patient was apparently asymptomatic 5 days back then he had an episode of low grade fever which is on and off since 2 days associated with generalised body pains and relieved on medication.

Then he developed bilateral upper and lower limb edema till ankle gradually progressive, pitting type.

He is a farmer .He is off to work at 6 and returns home at 5.
Patient takes rice three times a day
No h/o rash
             Altered consciousness 
             
Associated symptoms:-
  Headache
  Joint pains 
  Redness of both eyes
  Loss of appetite 
  1 episode of vomiting 4 days back
  
  
PAST HISTORY:
H/o - rat bite 5 months back
No hypertension 
      Diabetes
      CVS problems
      Tuberculosis


PERSONAL HISTORY:-
diet:- mixed 
loss of appetite 
Bowel and bladder movements:- regular

ADDICTIONS:-
Patient is an alcoholic. He drinks daily.
Not a smoker

SOCIOECONOMIC HISTORY:-
Patient lives in aakaram near katangur ,ventilated house with his wife and 2 children,use tap water


FAMILY HISTORY :-
No member of family has similar disease

DRUG HISTORY:-
No H/o allergic known drugs

GENERAL EXAMINATION:-
Patient is moderately fit and nourished 
Cooperative 
Conscious 

No c/o of giddiness
No bleeding manifestations
No c/o of loose stools 

No pallor 
No icterus
No cyanosis
No generalised lymphadenopathy 

VITALS:-
Temp:-Afebrile
RR : 24/min
PR:-90/min
BP:-100/60mmhg

SYSTEMIC EXAMINATION:-
RS:-BAE +
CVS:-S1 S2 +
ABDOMEN:- no tenderness is seen
CNS:-NAD
Patient is conscious .His speech is normal 


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