Case presentation A 40 weeks, four days pregnant 20-year-old woman presented with generalized edema, exertional dyspnea, breath shortness at rest for one month, and dry cough for two days. At the antenatal period of the 39 th week, she was diagnosed hypertensive with no proteinuria. She was on tab methyldopa (250 mg) daily twice. Family history Elder sister died due to dyspnea and suspected heart failure during pregnancy Father died due to blood cancer Among four sister and twi brothers, she was third.
None of them were screened. Suffered from repeated episodes of jaundice since childhood; however, she was never evaluated for it. Never received blood General examinations Severe anemia Malar prominence with facial puffiness Marked bipedal and sacral edema Bilateral basal crepitations Obstetrics examinations Corresponding fetal growth as per gestational age Average liquor volume Reactive…
