Final Exam short case
A 35 year female, resident of manipaka, came to casualty with the Cheif complaint of b/l pedal edema since 20 days,decreased urine output since 20 days,Facial puffiness , shortness of fever spike +, 10 days back, not associated with chills and rigor, subsided on taking medication.Complaint of cough with expectoration, yellowish in colour, HISTORY OF PRESENT ILLNESS: patient was apparently asymptomatic 2 months back then she developed chest pain for which she visited local hospital in miryalaguda , on evaluation she was diagnosed to have chronic kidney disease and low hemoglobin, 2PRBC Transfusions were done After PRBC transfusion she developed b/l pedal edema, which subsided on medication., 20 days back she developed b/l pedal edema, reduced urine output, sob a/w orthopnea,and facial puffiness. 10 days back she developed fever a/w chills and rigor, which subsided on medication. 1 PRBC transfusion done in Nalgonda hospital yesterday. Known case of HTN since 3 year's PAST HISTORY: