GM case history 3
60 yr old female, presented to the casualty with cheif complaint of pedal edema from one month and facial puffiness for the past 15days. HISTORY OF PRESENT ILLNESS: S0B since a day Bilateral pedal edema since 1 month Facial puffiness and Abdominal distension for the past 15 days. HISTORY OF PAST ILLENESS: She is a resident of Miryalaguda, having 4 children. Patient used to work as ayamma in govt Hospital she stopped working 5 years ago due to jaundice and abdominal distension. Patient is chronic alchoholic and non smoker History of one episode of seizure 8 years ago. No other seizure episode till date. 5 years ago patient had History of abdominal distension and jaundice- she visited our hospital and got admitted. Records are not available. She was on irregular medication since then. 2 years ago patient was again admitted in our hospital in the view of SOB and pedal edema- she was diagnosed to have Right Heart failure and moderate PAH and CLD and AKI. She was diagnosed to have di