GM CASE-4
12 th October 2021
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A 55 year old female patient came to casuality with chief compliant of shortness of breath, pedal edema, facial puffiness.
History of present illness :
Patient was asymptomatic 15 days back then she developed pedal edema,shortness of breath ,facial puffiness for which she got treated. 8 days back she got discharged and developed shortness of breath while doing her daily routine like walking, going to bathroom.
Decreased urine output since 1 day.
No fever, vomitings,loose stools, chest pain.
Past history :
Patient is a known case of diabetes mellitus since 15 years and hypertension since 10 years.
No history of asthma, tuberculosis, CAD.
Personal history :
Diet - mixed
Appetite - normal
Bowel and bladder movements- regular
Addictions- non alcoholic &non smoker
Family history :
No member of the family has similar complaints.
General examination :
Patient is conscious, coherent, cooperative and she is moderately built and nourished.
Pallor - present
Cyanosis - absent
Icterus - absent
Clubbing - absent
Lymphadenopathy- absent
Edema - present
ABS
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