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
