mosin104

29yo F ,homemaker  , unmarried, hailing from chityal, who completed her bsc botany came with complaints of  lethargy ,since 6 months. history of presenting illness: patient was apparently asymptomatic 6 months back , when she  started developing pedal edema on and off , subsided on taking rest and elevating limbs, easy fatiguability on doing daily chores like cooking, cleaning the house, which increased in intensity , causing her to take rest more often,doesnt resolve completely on rest. not associated with ,chest pain, shortness of breath, giddiness,loss of appetite,weight loss. past history: 12 years back , one afternoon during bathing she suddenly couldnt talk,or move her right upper and lowerlimb,with deviation of angle of mouth to the left ,upon which she made sounds , her mother who was nearby came to her aid ,and she was taken to hospital in nalgonda within an hour,and referred to gandhi hospital where she was admitted for 30 days,during which her speech returned and she was abl

I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and treatment. Original findings of the case link below: https://classworkdecjan.blogspot.com/2019/05/42-f-with-severe-regular-edema-with_17.html?m=1 Main complaints: 1.Swelling 2.Increased pain tolerance 3.Sleep deprivation 4.Decreased frequency of urination Complaints in detail history: 1.SWELLING:  Onset: present since one year age Mostly confined to face and abdomen Aggrevating factors: Exercise, smoking, some foods like favabeans and on taking drugs like anti malarials, sulfa drugs Relived by Cimetidine She had history of dark urine    Differential diagnosis could be Angioedema  Congenital heart disease Renal failure  G6PD deficiency   On history she had dark urine whick is suggestive of UTI or G6PD deficiency And swelling on anti malarials