A 65 yr old female presented with Pedal Edema and SOB
65 year old female patient resident of nalgonda came to the opd with chief complaints of • shortness of breath since 1 week • Pedal edema since 3 months • back pain since 1 week HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 4 years back then she developed flank pain, leg pain and Pedal edema bilaterally for which she consulted local practictioner and then was on medication. Since it was not subsiding 5 months back she went to nalgonda hospital and was diagnosed with kidney failure . Now 1 week back she came with complaints of SOB grade 2-3 ,progressive ,aggravated on walking and relieved on rest. PAST HISTORY K/C/O hypertension since 10 years Not a K/C/O DM, TB, Asthma, epilepsy. DAILY ROUTINE She was a farmer ,daily wage laborer by occupation but she stopped working since 2 years because of back pain and Pedal edema. Wakes up at 4Am Cooking and household activities Breakfast at 9am Talking to neighbours Lunch at 12am Sleep and wakes by 5pm Dinner at 7pm Sleeps