55 yr old male with c/o fever , pedal edema , sob

A 55 yr old daily wage labour came with c/o of :
Fever 
Pedal edema and
Abdominal discomfort since 5 to 6 days 
Sob since 1 day
Constipation and decreased urine output since today
HOPI : 
Patient was apparently normal one week back then he had high grade fever associated with chills and pedal edema initially upto ankle level and later progressed upto knee
Pain abdomen which is of mild severity with abdominal distension which is  gradually progressive and umbilicus everted
Sob since 1 day which is of grade 2 yesterday which progressed to grade 4 today
Decreased urine output constipation since today
PAST HISTORY :
No known case of htn , dm , epilepsy , tb , asthma
PERSONAL HISTORY  : 
loss of appetite
No significant family history
GENERAL EXAMINATION : 
Oedema of foot is present
No pallor , icterus, cyanosis ,clubbing, lymphadenopathy, koilonychia
Temp :101f
Pr :140 bpm
Bp:100/60 mmhg
Spo2: 98%
SYSTEMIC EXAMINATION :
RS : decreased air entry (rt>lft) , normal vesicular breath sounds , dyspnea present
 
P/A : distended abdomen , non tender , free fluid present , bowel sounds present
 
CVS : S1 S2 present , no murmurs 

CNS : No abnormalities detected

INVESTIGATIONS : 
lft 
serum creatinine
blood urea
serum electrolytes
rbs
Rx : 
1 IVF NS , RL, DNS each 500 ml  @ 100 ml/hr
2 INJ DOXY 100 MG IV /BD
3 INJ PAN 40 MG IV /OD
4 INJ ZOFER 4 MG IV / SOS
5 INJ OPTINEURON 1 AMP IN 100 ML NS IV / OD
6 INJ NEOMOL 1 GM IV/ SOS IF TEMP IS > 101 F
7 NEBULIZATION WITH BUDECORT 4 TH HOURLY
8 MONITOR VITALS HOURLY 
9 I/ O CHARTING , TEMP - CHARTING

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