On 8.8.2017 : A 57 years old female, a teacher by occupation had presented with the complaints of fever and bilateral swelling of feet since 2 days. On examination, patients had B/l pitting oedema up to half leg. Rest of the examination was normal.The patient was advised rest, crepe bandage, tab Cefixime 200mg bd, tab.combination of aceclofenac and paracetamol and tab.rabeprazole.
On 11.8.17 : Patient's symptoms didn't improve. The patient presented with B/l pedal oedema up to knee joint, difficulty in flexion of ankle joint, the heaviness of legs.The patient underwent investigations to rule out renal, liver, cardiac cause of oedema. Invg: TSH:0.42,S.Crt:0.80,S.uric acid: 5, Urine exam:NAD, Hb:11.7, TLC:9100, Neutro:74, Lymph: 19, eosinophils: 4, Plt:247, ESR:40, CRP: positive, SGOT:24,SGPT:28.4,ECG : is attached, ECHO: normal,(EF:58%) Patient was advised tab.dytor 10mg once a day,…
