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A 70/M potmaker by occupation with SOB since 3 months and B/L pedal edema since 2 months

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 70 year old male patient potmaker by occupation presented with C/O SOB since 3 months,B/L Lower limb swelling since 3 months Patient was apparently asymptomatic 30 years ago then he developed sudden  edema  of right upper limb involving upto elbow non pitting type then he had H/O thorn prick over the right palmar region 15 days ago due to which his edema of the right limb increased and was associated with pain but relieved on medication. H/O scrotal swelling since 20 years initially right sided gradual in onset   approximately a size of tennis ball ,got progressed to present size not associated with pain and appears to be B/L presently .3 months back patient developed SOB and got up from sleep in the night time. Since then he had SOB of grade III relieved on taking rest. Later he  observed B/L  pedal edema, pitting type intilally involving upto ankle joint  later progressed upto thigh region since  2 months. No H/O fever, chest pain, palpitations. K/C/O HTN since 3 months and on medic
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A 65/M with backache and burning micturition since 5 days.

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This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen:   A 65 year old male patient farmer by occupation came to OP with complaints of  backache and burning micturition since 5 days,fever since 5 days Patient was apparently asymptomatic 5 years back Then he had complaints of fever sudden in onset low grade type, Sweating and giddiness for which he went to local hospital where he was diagnosed with Hypertension and DM II. Then,9 months ago He underwent jaboulay's surgery for Hydrocoele.Later 8
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Bimonthly Assignment

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) A 55 year old man with Recurrent Focal Seizures casehttp://ushaindurthi.blogspot.com/2020/11/55-year-old-male-with-complaints-of.html 1. What is the problem representation of this patient and what could be the anatomical site of lesion ? A 55 year old male came with A--1)Involuntary movements of right upper and lower limbs. 2)Right upper limb weakness 3)DM II 4)Chronic alcoholic and chronic smoker since 35 years. O/E :Clubbing +, bilateral Inspiratory crepts in all areas. B-- right temporal lobe epileptogenic focus.   2. Why are subcortical internal capsular infarcts more common that cortical infarcts? subcortical infarcts are more common than cortical infarcts because the penetrating arteries which supply them have small diameter and  arise from major arteries of greater volume at a certain angle that makes them more prone for occlusion and rupture.Thus making sub cortical infarcts more common.  3. What is the pathogenesis involved in cerebral infarct related seizures? 
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