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65 u old female with a history of HTN

Patient: 65 u old female with a history of HTN &DM type 2 for more than 10 Y .ambitions of both leg Rte below the knee Rte above the knee.Rte side weekness after he morgue stroke 1 year ago.now C/o SOB .Chest X-ray show plural effusion bilateral. Developed ascites after 10 days . Herror Urea blood level is 125her blood shuger is controledon antihypertensive and blood thinning and anti dietician tab.what is the most likely deferntial diagnosIs?

 

 

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Dr. Jimmy Obaji M.D.

Dr. Jimmy Obaji M.D.

Dr. Jimmy Obaji completed his residency in Family Medicine at the University of Manitoba. He currently operates a walk-in-clinic in downtown Toronto.

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