40/F with facial puffiness since 1 year

 

A 40/F Came with complaints of 

Abdominal Distension since 1 year 

Facial puffiness since 1 year 

Itching all over the body since 1 year and developed multiple plaques on abdomen and Lower limbs 

Sob since  5 days

pedal edema since 5 days pitting type


H/O PRESENT ILLNESS

Patient was apparently asymptomatic 1 year back then she developed abdominal distension, facial puffiness,itching all over the body and 5 days ago she developed pedal edema and SOB



PAST HISTORY 

she developed knee pain 2 years ago and is under medication( demisone 0.5 mg and acelogic SR) 

Not a K/C/O DM/HTN/ asthma / Ischemic heart disease 


FAMILY HISTORY 

NO SIGNIFICANT FAMILY HISTORY


PERSONAL HISTORY:

OCCUPATION Daily wage worker

DIET MIXED

APPETITE decreased 

SLEEP NORMAL

BOWEL AND BLADDER HABITS : decreased urine output 

ADDICTIONS: NO



GENERAL EXAMINATION 

Patient is concious coherent and coperative


VITALS 

BP 110/80

PR 90bpm

TEMP 98.5degrees F

SPO2 98 @ RA

GRBS 106



NO PALLOR, ICTERUS , CYANOSIS, CLUBBING , LYMPHADENOPATHY 


SYSTEMIC EXAMINATION


CVS-S1 S2+


P/A-SOFT, NON TENDER, NO ORGANOMEGALY


RS - BAE +















  



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