What's the Dx & Rx ??

56y/M suffering from restlessness, pedal oedema since 6 month, Chief Complaints Rash on the whole body, restlessness, pedal oedema, no eny other complain. History Six months ago BS(F) PP, LIPID PROFILE reports was border line. But he is uncontrolled. Vitals BP 110/80mm/hg Puls 68 bpm SpO2 98% Physical Examination Redness around spot like rashes on whole body. Investigations Blood reports and ECHO report attached below. Diagnosis Please suggest?? Management Please suggest??

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Reports posted are insignificant as 2decho is normal Bsl are insignificant as may be IGT cqse and lifestyle modification can solve the problem so is tsh Now symptoms of pedal oedem will need to look KFTS Similarly restlessness needs ecg As such looks a c/o anxiety depression So far rashes are concerned plz post the pictures to understand

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? POSTURAL..OEDEMA.. ? RENAL.. CARDIAC PATHOLOGY.. ? ANEMIA..HYPOPROTEINEMIA.. NEED'S.. CLINICAL CORELATION..WITH.. INVESTIGATIONS.. BLOOD CBC.. URINE ROUTINE.. KFT..LFT .. MEANWHILE TREAT SYMPTOMATICALLY..

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Restlessness, pedal edema ,rashes Positive findings Mild DM ,border line hypothyroidism Normal echo DD Edema may be because of hypothyroidism, renal and hepatic causes, and anemia, hypoproteinemia, Chronic Rashes may be urticaria. Needs investigations

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Please ask for CBC ESR Blood SUGAR HIV RFT and presently treat on line of Urticaria

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R/o anemia,renal,hepatic pathology,hypoproteinemia

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Adv TFT RFT Sr protein levels.

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Ecg should be done bsl are border line

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