20 year old female with facial puffiness and fever since 10 days

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SRI CHANDANA 


Roll no: 98


8th semester  


CASE PRESENTATION 

A 20 year old female labourer came with complaints of fever since 20 days facial and legs swelling since 20 days 
complaints of throught pain SOB difficulty in swallowing  since 3 days 


HISTORY OF PRESENT ILLNESS 
patient was apparently symptomatic 20 days back then developed fever which was insidious in onset gradually progressive high grade with chills and riger not relieving with medication facial puffiness on and off,  legs swelling up to ankle associated with numbness, sob since 3 days Grade 2 MMRC relieved on rest not associated with chest pain , dyspecia since 3 days for both solids and liquids history of headache neck pain which is continuous not associated with vomitings history of facial puffiness one month back subsided by treatment given by local practitioner . Patient has ulcer over the back which is painful . no history of pain abdomen no burning maturation no difficulty in passing stool
History of loss of appittite 
She is not a known case of diabetes hypertension asthma epilepsy thyroid disorders


PERSONAL HISTORY 

As a mother of 3 children this patient wakes up at 5 am in the morning doing her daily chores in her house and sends her older 2 daughters to school and her husband to work she will do remaining chores and she will also goes to work as a daily or weekly labourer and comes home at 5pm to 8 pm based on work she had that day 
Doing all these she neglected her food intake 
Most of the time she skips her break fast and dinner some times she is eating rice with pickle some times 
She want to make sure that her daughters study well so she is working all the time 

She married at the age of 15 yes and had her first child with in a year and in 1½ year she had another daughter and now she is having a 26 months baby 
She didnt gave  milk to all her child because  she didn't produce milk 

Since past few days she is having fever so that she didnt went to work stayed at home but she is doing her chores from past 4 days she is resting and did some of the chores only 


GENERAL PHYSICAL EXAMINATION

Patient is conscious coherent co operative moderately built and nourished 
Pallor present 
No icterus cyanosis clubbing pedal edema 
Lymphadenopathy of bilateral lymph nodes are enlarged 

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