75 YR OLD FEMALE WITH SOB AND PEDAL EDEMA

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 75YR OLD FEMALE WITH SOB AND PEDAL EDEMA
This is a case of 75 yr old female with complaints of SOB, facial edema 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 ; facial 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 :pedal edema

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, 
 abdomen.
 ECG

CTPA
Treatment history

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