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 dail