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A female patient of 25 year old came to the opd with the cheif complaints of bilateral pedal edema with on and off since 1 month and sob since 2days and fever since 4days 

patient also had a premature 

Birth of a child at 7 months due to which she developed cough, vomitings 

History of present illness :- patient was Apparently asymptomatic 1 month back Developed edema for which she visited local hospital and diagnosed gestational hypertension and Started medication 

After one week it developed to 2 episodes of seizures 

History of past illness :- patient was c/c/c 

C/o Htn since 20 days 

No k/c/o Dm, asthma, 

Personal history :- 

Married 

Apetite - normal 

Mixed diet 

Bowel and bladder movements are regular 

Micturition - burning micturition

Addiction :- no addictions 

Durg history - no known drug allergies

Family history :- no knowm member of the family have similar complaints

PHYSICAL EXAMINATION :- 

General :- Patient is C/C/C

Pallor:Yes

Icterus:No

Cyanosis:No

Clubbing of fingers/toes:No

Lymphadenopathy:No

Oedema of feet:Yes

VITALS:

Temperature: 100 F

Pulse rate:123/min

Respiration rate: 24/ min

BP:120/80

Spo2: 92 

SYSTEMIC EXAMINATION :- 

 CVS system :- 

  No thrills 

  Cardiac sounds :- S1S2 +

  No cardiac murmurs 

Respiratory system :- 

Dysponea seen 

No wheeze

No tracheal deviation 

Breath sounds vesicular 

PER ABDOMEN:

Shape:scaphoid

Tenderness: No

Palpable mass:No

Bowel sounds : yes

Hernial orifices; Normal

Bruits:No

CNS:

No focal neurological deficits

Provisional diagnosis:  Acute kidney injury 

Investigations :-