A 50 yrs old female patient..
A 50 yr old female who is a agricultural labourer came to OPD with complaints of bilateral pedal edema, shortness of breath and chest pain. Cheif complaints Chest pain Shortness of breath Bilateral pedal edema History of present illness She was apparently asymptomatic 4 days back and developed pain in the chest which was non radiating type and not associated with sweating and palpitations Bilateral pedal edema( pitting type upto knees) No aggregating and relieving factors History of past illness She was known case of hypertension and on irregular medication . No h/o diabetes mellitus,TB, epilepsy,asthma. Hysterectomy 15 yrs back Personal history Married Diet : mixed Appetite: normal Bowels : regular Micturition is abnormal increased frequency of urine. No known allergies Family history No f/ h/o diabetes, hypertension,TB ,asthma, epilepsy. General examination No palor No cyanosis No icterus No lymphadenopathy No clubbing No malnutrition Bilateral pedal edema is present Systemic exam