55 year old man with Altered Sensorium, Heart Failure and Renal Failure
A 55 year old man presented on the 13th of February, 2022 with the complains of Bilateral lower limb edema since 6 months Reduced urine output since 1 week Dyspnea since 2 days He works as tractor driver in a local village nearby. He got married 30 years back. His wife works as a daily wage labourer. He has two children, his son works as a tractor driver, he also sometimes helps his mother with her work and his daughter is married. According to his wife, they earn enough to provide the family's daily needs. He regularly consumes alcohol and also is a tobacco chewer since the past 20 years. According to his son, he consumes around 90ml of whiskey twice a week along with occasional tordy consumption. Since the past 2 years he apparently has been experiencing bilateral knee joint pain for which he has been consuming NSAIDs regularly. 6 months back, they first noticed him have bilateral lower limbs swelling upto his ankles which eventually resolved on its own. He however kept deve