a 20 years female with nephrotic syndrome
December 20,2022
Name:Himabindhu
Roll no.48
This is is an online E log book to discuss our patient's deidentified health data shared after taking his/her/guardian's signed in formed consent.Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence-based inputs.This e-log book also reflects my patient centered online learning protfolio and your valuable inputs on comment box is welcome.
CASE PRESENTATION:
A 20 year female patient, resident of ramanapet, house wife by occupation came to general medicine OPD on 17 /12/22 with chief complaints of swelling of legs, face.
HISTORY OF PRESENTING ILLNESS:
Patient was apparently asymptomatic 5 months back then she developed pruritic lesions on bilateral lower limbs, because of itching she scrached the skin, on healing it got hyperpigmented.
Then patient developed generalized swelling of body 15 days back, starting initially with bilateral pedal edema then progressing to abdomen and then facial puffiness is developed. History of decreased urine output is present. The patient went to local hospital and was treated. the patient now presented with bilateral pedal edema.
HISTORY OF PAST ILLNESS : No history of cough ,vomiting, shortness of breath.
No history of smiliar complaints in past.
No history of diabetes, denovo hypertension, tuberculosis, bronchial asthma, epilepsy.
PERSONAL HISTORY :
Marital status :married
Appetite: normal
Diet : mixed
Bowel and bladder habits: regular
Sleep: adequate
Addictions : no Addictions
FAMILY HISTORY:
Their is no significant family history.
MENSTRUAL HISTORY:
She attained age of menarche at 13 years and had regular 30 days menstrual cycle for 4 days
GENERAL EXAMINATION:
Conscious, coherent, co-operative
Moderately built,nourished.
PALLOR: PRESENT
ICTERUS:ABSENT
CYANOSIS: ABSENT
CLUBBING OF FINGERS/TOES: ABSENT
LYMPHADENOPATHY: ABSENT
PEDAL EDEMA: PRESENT.
VITALS:
PULSE RATE: 86 bpm
BLOOD PRESSURE: 130 /80 mm of hg
160/90 mm of hg
SYSTEMIC EXAMINATION:
CVS:
S1,S2 Sounds heard,
No audible murmurs,
Thrills:No.
RESPIRATORY SYSTEM:
Dyspnea is absent,
Position of trachea:central,
Normal vesicular breath sounds are heard,
No adventitious sounds .
Per abdomen: soft and non tender.
PROVISIONAL DIAGNOSIS: nephrotic syndrome.
