25 year old female with bilateral pedal edema.

mod patient


A female patient of 25 year old came to the opd with the cheif complaints of bilateral pedal edema with on and off since 1 month and sob since 2days and fever since 4days .
patient also had a premature 
Birth of a child at 7 months due to which she developed cough, vomitings ,bilateral pitting pedal edema,eclampsia.

History of present illness :- patient was Apparently asymptomatic 1 month back Developed edema for which she visited local hospital and diagnosed gestational hypertension and Started medication 
After one week it developed to 2 episodes of seizures .

History of past illness :- patient was c/c/c 
C/o Htn since 20 days 
No k/c/o Dm, asthma, 

Personal history :- 
Married 
Apetite - normal 
Diet-Mixed diet 
Bowel and bladder movements are regular 
Micturition - burning micturition
Addiction :- no addictions 

Durg history - no known drug allergies

Family history :- no knowm member of the family have similar complaints


PHYSICAL EXAMINATION :- 

General :- Patient is C/C/C

Pallor:Yes
Icterus:No
Cyanosis:No
Clubbing of fingers/toes:No
Lymphadenopathy:No
Oedema of feet:Yes

VITALS:

Temperature: 100 F
Pulse rate:123/min
Respiration rate: 24/ min
BP:120/80
Spo2: 92 


SYSTEMIC EXAMINATION :- 

 CVS system :- 
  No thrills 
  Cardiac sounds :- S1S2 +
  No cardiac murmurs 

Respiratory system :- 
Dysponea seen 
No wheeze
No tracheal deviation 
Breath sounds vesicular 


ABDOMEN:
Shape:scaphoid
Tenderness: No
Palpable mass:No
Bowel sounds : yes
Hernial orifices; Normal
Bruits:No

CNS:
No focal neurological deficits

Provisional diagnosis:  Acute kidney injury 



Investigations :- 




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