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Dr. Nachwera Peter
This document presents a clinical case of a 38-year-old male with a 30-year history of asthma. He presented with a 3-month history of bilateral lower limb and abdominal swelling, and progressive difficulty in breathing. The case details his medical history, including significant alcohol abuse, presenting complaints, and review of systems. Differential diagnoses considered include pneumonia, tuberculosis, chronic liver disease, congestive heart failure, and chronic kidney disease. Investigations and management, including chest drain insertion and antibiotic therapy, are described.
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