55M with abdominal distention since 15 days,hiccoughs since 3 days.
A 55 year old male who is a toddy collector by occupation, resident of ananthagiri came with cheif complaints of abdominal distention since 15 days,pain in the interscapular region aggravated by coughing. Hiccoughs since 3 days,continuous,not releived on taking medication. H/O 2 episodes of seizures H/O altered sensorium on presentation to hospital. Vomitings on taking food, patient has not been taking food due to this complaint. Patient was normal 3 years back then he had right sided femoral hernia surgery. He developed hypertension 3 years back but did not take anty medication for 1 year. Known case of CKD-diagnosed in ESI hospital (Then the patient had chief complaints of swelling of feet and facial puffiness) Patient on maintenance hemodialysis since 2 years. Patient is dialysed every week. Last dialysis was done 3 weeks back. Alcohlic since 38 years,drinks toddy everyday after collecting toddy,stopped drinking after starting dialysis.(2 years back). Known H...
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