75M with burning micturition since 10 days pedal edema since 1 month

Chief Complaint: 75M, resident of Nalgonda came to opd with chief c/o
- burning micturition since 10 days
- pedal edema since 1 month
- decreased appetite since 10 days

History of Presenting Illness: Patient was apparently asymptomatic 10 days ago when he developed
- burning micturition which was insidious in onset, gradually progressive and relived on taking medication, 5 to 6 times a day
- B/L pedal edema, since 1 month, insidious onset, gradually progressive, pitting type
- decreased appetite since 10 days

Past History: h/o similar complaints 1 year ago, which was diagnosed as urinary tract infection and he was treated with unspecified medication
N/k/c/o DM, HTN, CAD, TB, asthma, epilepsy, thyroid disorders 

Surgical History: not significant 

Family History: not significant 

Drug History: 
TAB. Furosemide
TAB. nitrofurantoin

Personal History: 
- normal appetite 
- vegetarian diet since 
- regular bowel movements
- burning micturition 
- no known allergies 
- occasional alcoholic, stopped 4 years ago

General Examination:
I have examined the patient after taking prior consent and informing the patient in the presence of a female attendant. The examination was done in both supine and sitting position in a well lit room. 

- patient was conscious, coherent and cooperative
- well oriented to time, place and person
- well built and adequately nourished
- no pallor 
- no icterus
- no cyanosis 
- no clubbing of fingers
- no lymphadenopathy 
- no pedal edema
- no malnutrition 
- no dehydration 

Vitals:
temperature afebrile
PR: 76 bpm
RR: 17 cpm
BP: 130/90 mm Hg

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