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 :