GM Blog Series


25 YEAR OLD FEMALE Resident of Nalgonda

Chief Complaints:

Generalized edema  since 2months

Shortness of breath since 1week

Fever since 10 days


History of Presenting Illness:

Patient  G2P1L1 was apparently asymmtomatic 2months back then she developed generalized edema for which she went to local RMP where she was diagnosed as  Gestational Hypertension and started on medication. 1week later she developed seizures 2 episodes - Tongue bite and loss of consciousness present. She went to Yashoda hospital and MRI was done which showed PRES (Posterior Reversible Encephalopathy Syndrome) 2D Echo showed global hypokinesia. LV Dysfunction with 45%Ejection fraction. 

On 10/10/2022 (30 weeks of gestation) Emergency LSCS was done in view of fetal distress (cord around the neck) 960 gm female child.. In ot she had one episode of seizure for which she was intubated, antihypertensive, antiepileptics, laxics, blood transfusion done. One week later she was discharged as LAMA. She went to hospital in Nalgonda on 16/10/2022 when she had pedal edema where they found out deranged LFT and RFT, Dialysis was advised, her haemoglobin was 7gm/dl so blood transfusion was given. She went to another hospital with complaint of pedal edema, oliguria, facial puffiness - 3sessions of hemodialysis done and 2 blood transfusion.

Later she developed Shortness of breath grade 2 insidious in onset aggravated on lying down. Fever high grade not associated with chills and rigors. Burning micturation. Hemoptysis. 

Complaint of headache during pregnancy. 


Past History:

No History of Diabetes, Thyroid, Tb , epilepsy, 

No previous operation

Blood transfusion 3 sessions

Previous Pregnancy - Conceived spontaneous. All the trimester uneventful. Normal full term vaginal delivery. Baby Girl (current age 4 years).


Family History:

Elder sister died 3years ago due to seizures


Personal History:

Diet mixed

Appetite Normal

Bowel movement normal

Bladder Burning micturation

No addictions and allergies

General examination:

Patient is conscious coherent and cooperative, well oriented to time place and person.

Moderately built and nourished.

Pallor present

Bilateral pedal edema

No Icterus, Clubbing, cyanosis, lymhadenopathy

Vitals:

Temperature Afebrile

BP 120/80 mmHg

Pulse rate 88bpm

Respiratory rate 18cpm.








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