45 yr old female

 SCENARIO 

06,JULY,2022

Pt aged 45 years female came to opd with chief complaints of Bilateral pedal edema  and SOB


HOPI

Pt presented with bilateral pedal edema (pitting type) and SOB since 2 weeks

HISTORY OF PAST ILLNESS 

NO H/O -:
                 DM
                  HTN 
                  TB
                  BRONCHIAL ASTHMA 



TREATMENT HISTORY 

.NO SIGNIFICANT HISTORY 


PERSONAL HISTORY 

.Married 
.mixed diet 
.normal bowel habit 



GENERAL EXAMINATION 


NO pallor 
       .icterus 
       .cynosis 
       .lymphadenopathy 
       .clubbing 

PHYSICAL EXAMINATION-:

.temperature-:afibrile 
.pulse rate  -:82/min
.resp rate -:18/min 
.Bp             -:90/70


 SYSTEMIC EXAMINATION 

CVS-; 
        S1,S2 HEARD 
        NO MURMERS 

RESPIRATORY SYSTEM-:
         No dyspnea 
          No wheeze 
          Position of trachea -;central 
ABDOMEN-:
          Shape scaphoid 
          Tenderness in right lumber region 
          No palpable mass 
           No palpable spleen and liver 

CNS-:
         Consious, coherent ,cooperative 
         Speech norml
         No neck stiffness
         
SENSORY SYSTEM 
        Able to percieve-:pain , temp.

 . CLINICAL IMAGES

INVESTIGATIONS

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