34 year old female with swelling in lower limbs

 This is an online E-log entry blog to discuss and understand the clinical data analysis of a patient, to develop competency in comprehending clinical problems, and providing evidence- based inputs in order to come up with a diagnosis and effective treatment plan to the best of my ability.

A 34 year old female came to the hospital with chief complaints 

1) pedal edema since 7 days

2) Abdominal distension since 7days

3) Decreased urine output since 2days.

HISTORY OF PRESENTING ILLNESSES:

She was apparently asymptomatic 7 days back,then she developed pedal edema which was sudden in onset, persistent ,bilateral pitting type.

She has abdominal distension since 7days worsening since 2 days,there is also tightness in abdomen.

History of decreased urine output since 2days.

History of vomiting since 7days ,4-5 episodes per day non projectile,non bilious,non blood tinged,assosciated with nausea.

History of constipation.

History of past illnesses:

H/o fever in the last month, and that was diagnosed to be Dengue positive and was treated symptomatically

Not a known case of diabetes mellitus, hypertension,asthma ,tb,epilepsy.

Personal history:

Appetite normal.

Mixed diet.

Sleep regular.

Bowel and bladder :decreased urine output since 2 days.