Ujwala 137

 A 42 year old female came to the hospital with chief complaints of pedal edema, shortness of breath and decreased urine output since 6 months. HISTORY OF PRESENT ILLNESS:- The patient was apparently asymptomatic 6 months ago and then she developed pedal edema, which was gradual in onset, progressive along with shortness of breath (grade III-IV) along with decreased urine output. She then came to this hospital for further evaluation. HISTORY OF PAST ILLNESS:- She is not a known case of diabetes mellitus, CVA, TB, asthma. She had hypertension since 6 months. TREATMENT HISTORY:- The patient had a blood transfusion in the past. She is also regularly taking medicines for her symptoms. She had a C-Section surgery 20 years ago. PERSONAL HISTORY:- Diet: Mixed, but ever since the onset of her symptoms, she stopped consuming non-vegetarian food. Appetite: decreased Bowels: irregular Micturition: decreased FAMILY HISTORY:- No history of diabetes, hypertension, heart disease or stroke, tuberculos

 A 60 year old female resident of thakkellapally who is a housewife came with the complaints of fever since 10 days nausea and vomiting since 10 days and productive cough since 10 days  History of present illness  Patient was apparently asymptomatic 10 days back then she developed fever which is insidious in onset ,continuous with no diurnal variations and not associated with chills and rigors ,relived on medication ,no history of headache history of vomiting and nausea since 10 days almost 2 times a day which is non projectile, non bilious with loss of appetite  Complains of Bilateral knee pain for which she is taking NSAIDS since 5 years,no history of other body pains Cough with expectoration with mucoid sputum and associated with pain in back while coughingk No History of burning micturition ,loose stools, pain abdomen ,pedal edema,chest pain, Shortness of breath, palpitations  Past history Not a known case of diabetes ,hypertension ,asthma ,epilepsy,coronary artery disease History