Date of admission:-30 june 2022

CASE SCENARIO 

Pt aged 45 yrs F daily wage worker came to opd with chief c/o bilateral pedal edema since 20 days and SOB on exertion since 20 days

HISTORY OF PRESENT ILLNESS

Pt has bilateral pedal edema( pitting) and SOB on exertion 

HISTORY OF PAST ILLNESS

N/k/c/o Dm and HTN

TREATMENT  HISTORY 

Pt is not on any medication

PERSONAL HISTORY 

Married

Mixed diet

Daily wage worker 

PHYSICAL EXAMINATION 

Patient is conscious, coherent and cooperative

•Moderately built and Moderately nourished

•No signs of - Pallor

                       Cyanosis

                       Clubbing

                       Icterus

Edema is present,pitting type


VITALS


•Temp - 

•Pulse rate - 82BPM

•RP - 

•BP - 130/70 mm hg

•SPO2 - 

SYSTEMIC EXAMINATION

CARDIOVASCULAR SYSTEM

•S1, S2 heard

•No murmurs

RESPIRATORY SYSTEM:

 

•Position of trachea - central

•Breath sounds - vesicular

ABDOMEN

•Shape - scaphoid

• palpable liver

•Spleen is not palpable 

CENTRAL NERVOUS SYSTEM:

•Intact

•No focal defect

•No abnormality detected 


CLINICAL IMAGES







INVESTIGATIONS 








DIAGNOSIS 



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