CASUALTY CASE

 CASUALTY BLOG

Patient came to casualty with complaints of Shortness of breath  since 2 am

HISTORY OF PRESENT ILLNESS 

Patient was apparently asymptomatic  10 days back then dhe was taken to local hospital because of  generalised weakness 

She also developed Shortness of breath-Grade 4 MMRC Insidious in onset gradually progressive aggravated  on lying down

No relieving factors 

Complains of b/l pedal edema ,pitting typr extended upto knee joint and no aggrevating or relieving factors 

Complains of decreased urine output  since 3 to 3days (related to decreased oral intake)

C/o chest tightness ,facial puffiness since 1 week

No c/o chest pain, palpitations, giddiness, sweating 

No c/oof tingling sensation of hands and feet

Patient is K/C/O Diabetes mellitus type 2 since 15years on regular medication 

Using Tab Glicazide 60mg OD

K/C/ O  Hypertension since 15 years on regular medication 

( Tab clinidipine 10mg OD)

K/c/ o  Chronic kidney disease on conservative management since 10monthd 

Not a k/c/ o CVA,TB,ASTHMA, EPILEPSY 

Systemic Examination

P/A soft and non tender 

No organomegaly

CVS S1 S2 heard no murmurs

RS BAE + NVBS heard

CNS No focal neurological deficit

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