55 year old male with abdominal distension
A 55 year old male came to hospital with complaints of abdominal distension since 1 week Swelling in both the legs since 1 week Patient was admitted on 18,November 2021 He was asymptomatic 3 months 15 days ago then he noticed swelling of right lower limb which was gradually progressive .It started as swelling in the foot then progressed slowly from foot to thigh to involve whole leg. Pedal edema was pitting type and associated with pain in muscles The swelling progressed further to involve abdomen and he developed abdominal distension after 15 days which progressed gradually .15 days later he developed swelling in left leg which started as ankle swelling and progressed upto thigh and involved scrotum 15 days after development of abdominal distension he came to KIMS for treatment. He was admitted here. Ascitic tap was done. He was diagnosed with Nephrotic syndrome .He was given medication for that and discharged. 1 month after that he developed abdominal distension again along with