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My brother is recently discharged from hospital admitted with fluid overload. Weight loss from 80 kg to 71 kg before discharged. Past history: non ischemic DCM, HTM, DM. Current medication: Ecosprin 75 mg OD, Lasix 40 mg BD, Cardivas 6.25 mg BD, Zyloric 100 mg OD, Sompraz-D OD, Diamicron Mr. 30 mg OD, Ivabradine 2.5 mg BD. On examination: HR: 80 bpm BP: 140/80 mmhg, SatsO2: 96% on RA, CVS: s1 s2 normal. RS: Bilat basal crepitations Bilat pitting poedal odema. P/Abd: Distended with clinical ascites. Clinical impression: DCM. Investigations: Hb 8.6, cr 2.2, Na 130, K 4.9, CI 105. Plan: iron studies, abdomen usg. Usg reports: 14 cm liver shows course echotexture. Impression: Gross Ascites. Latest investigation: Cr 2.4, UR-63, Serum Sodium-135, Serum Potassium-4.6, Serum Chlorides:- Tot bil-0.6, Total Serum proteins: 6.1, Serum Albumin-3.4, Serum Globulin-2.7, OT-21, PT-11, Patients P.T-12.7, PT control-10.5, I.N.R-1.2. Now again my brother has put on weight from 71 kg to 75 kg. advice usg with tapping for remove excess fluids & also referred for gastroenterologist. Please advise me.


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