40F crf with heart failure with scleroderma overlap
Name: Meghana Muddada
Roll no: 95
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I have been given this case to solve in an attempt to understand the topic of “ patient clinical data analysis” to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan
Presenting Complaints:
C/o Difficulty in Breathing Since Morning
C/o Decreased Urine Output Since Morning(Once Since Morning)
C/o Decreased Food Intake Since Morning
HOPI:
Patient was apparently asymptomatic till 2011 then she had developed pain in both fingers of the upper limbs & damage & peeling of nails of fingers of upper limb then had developed pain wrist & elbow joint & knee pains.
Pt went to hospital & was treated with calcium supplements & used for 3 yrs & patient symptoms subsided then from 1 year back she started developing same symptoms & went to hospital & was diagnosed with SLE on routine investigations.pt was started on medication after six months patient was diagnosed with HTN.pt started having loose stools & vomitings & went to hospital & was having bilateral lower limb swelling & on routine investigations pt found to have devanged renal cutaneous & initiated on hemodialysis involve volume over load & renal parameters
H/O PAST ILLNESS:
K/C/O HTN Since 6 Months on medication -
T.Praxosin Hydrochloride 2.5 mg
T. Arkamin 0.1mg
T.Linod 100mg Po/OD
Not A K/C/O TB/Asthma/Epilepsy/CVA/ DM-II
6 - Sessions Of HEMODIALYSIS Done
2-PRBC Transfusion Done
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