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 125
her blood shuger is controled
on antihypertensive and blood thinning and anti dietician tab.
what is the most likely deferntial diagnosIs?
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