HFPEF - Acute decompensated heart failure
A 60-year-old male patient resident of bhongiri came to the OPD with chief complaints of shortness of breath (grade3-4 according to NYHA classification )since yesterday ;complains of abdominal distension since yesterday ,decreased urine output since yesterday , B/l Pedal edema since Yesterday and burning micturition since two days . History of presenting illness: – Patient was apparently a symptomatic till yesterday then he developed shortness of breath (grade3-grade4) according to NYHA with Orthopnoea not associated with PND , Palpitations chest pain. Complains of abdominal distension not associated with nausea or vomiting. Complains of bilateral Pedal edema of pitting type up to the knee. Complains of decreased urine output since yesterday complains of burning micturition. Known case of alcohol Consumption – occasionally(once a week- 90ml whiskey) k/c/o htn on irregular medication Not a known case of diabetes mellitus past history:- he was admitted in july 2020 with similar com