SALIENT FEATURES:

History:

5 days PTAo Fever, 38.9oC; Relieved with

Paracetamol 3 days PTA

o Gradual development of BIPEDAL EDEMA

o Gradual Abdominal Enlargement

o Unknown Diagnosis 2 days PTA

o Increasing abdominal girth Maternal and birth history

o Seizures at 1st month of lifeo Unknown diagnosis

Developmental historyo Global developmental delayo Sits alone at age 6; walks alone

by 8 years of ageo Cannot do daily activities alone

Family historyo Asthma—siblings (not further

specified)

o HPN—fathero Hansen’s Disease—maternal

side Socioeconomic

o Lives in congested placeo Water for drinking is from deep

well. Not boiled prior to consumption

PE

Vitalso BP—100/70o CR—132 bpmo RR—26 cpmo T—37OC

Anthropometricso Wt—23 kg (IBW of 26kg)o Ht—129cmo BMI—13.821 o AC—67cm

Cervical Lymph adenopathy Globular abdomen, (+) hepatomegaly (+) grade 4 bipedal edema Neurological exam was unremarkable