7/26/2019 Case (Swollen Legs)

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Name: Mrs. X

Age: 31

Gender: Female

Race: Malay

Presenting complaint: Swollen legs

History o P!: S"e was admitted on 31 A#g wit" $ilateral leg oedema. %eore t"is

s"e was admitted to "ospital or t"e similar complaint. Her legs were starting to

swell since 3 mont"s ago and t"e swelling is increasing progressi&ely. S"e is

e'periencing #ncomorta$le w"ile wal(ing. A$sence o pain and wo#nd. No pyre'ia.

No signs o in)ammation *redness+ "eat+ loss o #nction,. Howe&er+ t"ere is some

sense o n#m$ness in $ot" legs.

Past Medical History: A$sence o any c"ronic diseases li(e "ypertension+ dia$etes+"yperc"olesterolemia and "eart disease.

-r#g "istory: a(ing #rosemide. No (nown allergies.

Family "istory: No signi/cant disease in patient0s amily

Social "istory: Patient doesn0t smo(e or cons#me alco"olic drin(. ac( o e'ercise

d#e to t"e swollen legs.

2'amination: A$dominal e'amination and cardio&asc#lar e'amination

n&estigation: %lood test *ne#trop"il+ al$#min+ gl#cose,+ 4rine test *452,+ renalpro/le+ li&er #nction test+ ec"ocardiogram

-i6erential diagnosis: !"ronic glomer#lonep"ritis+ li&er ail#re+ rig"t sided "eart

ail#re

Management: 7