,HISTORY OF PRESENT ILLNESS:,  This is a 47-year-old gentleman, who works offshore as a cook, who about 4 days ago noted that he was having some swelling in his ankles and it progressively got worse over the past 3 to 4 days, until he was swelling all the way up to his mid thigh bilaterally. 
,HISTORY OF PRESENT ILLNESS : , This is a 47 - year - old gentleman , who works offshore as a cook , who about 4 days ago noted that he was having some swelling in his ankles and it progressively got worse over the past 3 to 4 days , until he was swelling all the way up to his mid thigh bilaterally .