85 old male k/c/o hypertension since 10 years with complaints of giddines and neck pain , pedal edema since 5 months

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 Chief complaints 

Chief complaints of giddiness since 5 months 

Neck pain since 5 months 

Pedal edema since 5 months 

Hopi patient was apparently asymptomatic 5 months back , then he developed neck pain, insidious onset 

Pedal edema since 5 months grade 2 pitting type 

No h/0 fever, cough , cold 

C/o sob, orthopnea,

No h/o decreased urine output 

Past history : 

Not a k/c/o DM, asthma, epilepsy,TB CAD, CVA, thyroid disorders 

No h/o surgeries in the past 

Personal history 

Diet mixed 

Appetite normal 

Bowel  hard stools , constipation 

Micturition normal 

Sleep adequate

Addictions  used to consume alcohol regularly, stopped 4 months back

Stopped smoking 20 years back .

Family history not significant 

General physical examination 

Patient is conscious, coherent, cooperative well oriented to time place person

Moderately built and nourished 

Vitals at the time of examination : 

Bp  110/60 mm hg 

Pr  69  bpm

RR 21 cpm 

Spo2 97 % at ra 

Grbs  138 mg/dl 

Signs of pallor  present 

No signs of icterus, clubbing, cyanosis, lymphadenopathy

Pedal edema present 

Investigations. 



























RFT 


LFT 




Hemogram 


CUE 


Rbs 



Bgt 







Provisional diagnosis: cervical spondylosis ? 

With  k/c/o hypertension since  10 year


Treatment given : 

Tab ultracet po od 

Tab vertigon  8 mg PO BD  

Tab TELMA 40 Mg PO OD 

Tab mvt po od 

Cervical collar I/v/o neck pain . 


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