RANA DARSHANAM ROLL NO 35

A 60 year old Female,a resident of Choutuppal presented to OPD with CHIEF COMPLAINTS:  SOB since 8days and pedal edema since 8days,vomitings and loose stools from 2days History of Present Illness:  Patient was apparently asymptomatic 8 days back then she developed shortness of breath since 8 days (insidious in onset and gradually in progression, associated with orthopnea,not associated with wheeze) Later, she developed pedal edema (insidious in onset and gradually in progression and extended upto knee,which is pitting type (which was subsided after dialysis) history of loose stools(4-5)episodes(mucoid and foul smelling) since 2days,  history of vomiting since 2days(non projectile and non billous in nature) No history of fever, headache, abdominal pain, burning micturition PAST HISTORY: History of HTN and CKD since 6 years for which she was on medication History of DM (she got to know on 9/6/22) No history of asthma, thyroid abnormality, epilepsy TIME LINE OF ILLNESS: PERSONAL HISTORY:

A 28 yr old female, a resident of Kolkata,came to OPD with Chief Complaints: - Pain in the left groin since 4 months - Burning micturition since 4 months - 2 episodes of hematuria - Shortness of breath since 4 years and she came for the regular checkup to know the state of her condition History of present illness: - Patient was apparently asymptomatic 15years back (i.e..,in 2007 she was diagnosed with TB at the age of 13 yrs when she started experiencing easy fatigability even on doing minor forms of any physical activity resulting in shortness of breath) For which she was on ATT and after partial relieving of symptoms she discontinued it and from the past 4 years there was re-presentation of shortness of breath - Later there were episodes of pain radiating from iliac to inguinal region from the lockdown 2020, last episode was from past 4 months  -she also mentioned minute quantities of blood passed in urine during the span of 4 months Past History: Patient has h/o TB but not of hypert