A 70 year old man came to the OPD 2 days ago with complaints of anuria and shortness of breath.
The patient's and his attender's consent was obtained, following which detailed history was taken and examination was performed. HOPI The patient was apparently asymptomatic 20 days ago when he developed swelling in the feet which progressively extended to his knees. On 8th October, he didn't pass urine for the entire duration of the day and was brought to the OPD for the same reason. He also had weakness and shortness of breath. At the time of examination, the patient was restless and unable to lie on his back for more than a few minutes. Productive cough was also noted. Past Illnesses Two years ago, the patient was in a road traffic accident where he fell from his bike near his village in Nalgonda. He fractured his left leg near his hip and underwent a surgical procedure where rod(s) were inserted to ensure proper healing. He has been unable to work ever since and has become bedridden. He is unable to walk or sit on his own. He has been taking painkillers (NSAIDs) for h