75 yr old female with SOB and pedal edema

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 This is a case of 75 yr old female with complaints of SOB and pedal edema since 10 days


HOPI :


patient was apparently asymptomatic 3 years back then she developed lethargy for which she went to hospital and an ecg was done . She was diagnosed with CAD and hypertension for which she is kept on medication (CCB clinidipine)

10 days back she developed pedal edema and SOB 

pedal edema was gradually progressive in nature and sob progressed from grade 3 to grade 4


past history: 

k/c/o HTN 

no h/o DM, epilepsy, thyroid abnormalities,TB,asthma 


personal history

daily routine

the patient is a handloom worker by occupation.she wakes up at 5:30 and completes her daily morning activities she then does her household chores. Depending on the amount of work she does her work and has her lunch by 11am and continues to do the same for rest of the day. then by 8pm she has her dinner and goes to sleep by 10pm.



Family History: not significant 




General Examination: 


Patient is Conscious, coherent and cooperative 


Moderately Built and Nourished.


Pallor Absent


Icterus Absent


Clubbing Absent


Cyanosis Absent


Lymphadenopathy Absent


Edema Absent 




Vitals : 


Temperature - afebrile 


Pulse: 99/min


B.P: 220/120mmHg


SpO2: 85% at room 96% at 14L O2


GRBS: 218




Systemic examination:




ABDOMEN: Palpable liver, no tenderness, distended abdomen.



ECG





CTPA







Treatment history 



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