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60 year old male with pedal oedema and loss of appetite

GENERAL MEDICINE CASE - This is an online elog book to discuss our patient's health data shared after taking his/her/guardian's consent.This also reflects patient centered care and online learning portfolio.This E-log book reflects my patient- centered online learning portfolio. A 60 year old male farmer by occupation resident of nalgonda came to casualty with chief complaints of Pedal edema since 1 month Loss of appetite since 2 months HISTORY OF PRESENT ILLNESS    The patient was apparently asymptomatic 2 years back,during this time his nephew got expired and patient started developing anxiety issues and used to take alcohol daily [previously occasional drinker] and after 15 days of expiry of his nephew patient started developing fever, sudden onset,high grade associated with generalized body pains and during this time, patient was diagnosed with hypertension. Patient used medication for about 3 months and stopped using it. Patient was normal upto 10 months, during this 10 mo