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Most likely:
Evolution of oedema:
1. Legs => Face => Ascites: congestive cardiac failure
2. Face (periordital puffiness)>> Legs >> Ascites: Nephrotic Syndrome
3. Ascites>> Leg >> Face: Cirrhosis of liver
4. Oedema of feet with puffiness of face>> Ascites: Nutritional Oedema
Daily learnings.....
(Most probable Dx/possibilities):
1. Haematuria+ Abdominal mass+ Htn : Polycystic Kidney Diseases
2. Haematuria+ Abd Mass+ Weight loss ± Elderly pt: Malignancy
3. Haematuria+ esp. blood at the end of micturition ±Urgency± Hesitancy± Nocturia: BPH
4. Haematuria + esp. blood diffusely present throughout the urine ± lower abd pain: Bladder origin ( recurrent urethritia, stone, tumour)
06/05/2023
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