A 25-year-old female presented to a clinic with a 1-week history of swollen hands. Furthermore, she reported that she had swelling around her eyes and shortness of breath from the last 2 days.
The patient had infected skin lesions on her thighs three weeks back that had been treated with an antibiotic ointment. Past medical history Unremarkable medical history Recent HIV test was negative No past surgical history Family History Mother had hypertension Physical Examination Awake and alert Presence of periorbital edema and bilateral edema of the hands and feet Mild tachypnoea at rest Afebrile BP:160/100 mmHg, HR: 85 beats per minute, RR: 20 breaths per minute Mild conjunctival pallor Cardiovascular examination: JVP elevated to the angle of the jaw Respiratory system examination: Bilateral basal crackles Dermatological examination: Mild scarring on thighs from healed lesions Laboratory…