A 50yr old female came to hospital with complaints of fever and weakness and swelling of legs

 Hi, I am M. Nithin  (Roll no:82) 3rd sem medical student. this is an online elog book to discuss our patients health data after taking their consent.This also reflects my patient centered online learning portfolio.


A 50yr old female came to hospital with high grade fever and swelling of legs and hands 3days ago


Chief Complaints :


The patient came to the hospital on Saturday with chief complaints of high grade fever since 4days ,swelling of feet and hands since 3days 


History of present illness:


The patient went to suryapet medical college where she was told she had dengue,malaria,low blood volume.On Saturday she came to kims ,tests were done and was told there was only low platelet count.One day back a kidney scan was done and found that there was a kidney problem.The patient is not aware of the kidney problem.


History of past illness :


2yrs back she suffered from diarrhoea


Personal history :


Married


Occupation: daily labourer


Diet:mixed


Bowels :normal


Appetite:lost


Sleep:normal


No known allergies 


General examination :


No pallor 


No icterus 


No cyanosis 


No clubbing of fingers


No lymphadenopathy


Pedal edema: yes














SYSTEMATIC EXAMINATION:


B. CARDIO VASCULAR SYSTEM


1. Thrills No 


2. Cardiac Sounds


3. Cardiac murmurs No 


C. RESPIRATORY SYSTEM


1. Dyspnoea - No


2. Wheeze - No 


3. Position of Trachea - Central


4. Breath Sounds - Vesicular


5. Adventilious Sounds - No


D. ABDOMEN


1. Shape of abdomen - Scaphoid 


2. Tenderness - No


3. Palpable mass - No 


4. Hernial Orifices Normal 


5. Free Fluid No 


6. Bruits No 


7. Liver - Not palpable


8. Spleen - Not palpable 


9. Bowel sounds -No


Investigations:









Treatment :







Diagnosis :





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