A 25 year Female with Gestational trophoblast induced multi organ disorder (MOD)

This is an online e-log platform to discuss case scenario of a patient with their guardians permission. 



I have 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 histoty, clinical findings, .investigations and come up with a diagnosis and treatment plan.

A 25 yr old female patient came to the opd with the cheif complaints of bilateral pedal edema with on and off since 1 month and sob since 2days and fever since 4days 

patient also had a premature 
Birth of a child at 7 months due to which she developed cough, vomitings 

History of present illness :- 
patient was Apparently asymptomatic 1 month back Developed edema for which she visited local hospital and diagnosed gestational hypertension and Started medication 
After one week it developed to 2 episodes of seizures "ECLAMPSIA"

History of past illness :- 
C/o Htn since 20 days 
No k/c/o Dm, asthma, 

Personal history :- 
Married 
Apetite - normal 
Mixed diet 
Bowel and bladder movements are regular 
Micturition - burning micturition
Addiction :- no addictions 

Durg history - no known drug allergies

Family history :- no knowm member of the family have similar complaints


PHYSICAL EXAMINATION :- 

General :- Patient is C/C/C

Pallor:Yes
Icterus:No
Cyanosis:No
Clubbing of fingers/toes:No
Lymphadenopathy:No
Oedema of feet:Yes

VITALS:

Temperature: 100 F
Pulse rate:123/min
Respiration rate: 24/ min
BP:120/80
Spo2: 92 


SYSTEMIC EXAMINATION :- 

 CVS system :- 
  No thrills 
  Cardiac sounds :- S1S2 +
  No cardiac murmurs 

Respiratory system :- 
Dysponea seen 
No wheeze
No tracheal deviation 
Breath sounds vesicular 


PER ABDOMEN:
Shape:scaphoid
Tenderness: No
Palpable mass:No
Bowel sounds : yes
Hernial orifices; Normal
Bruits:No

CNS:
No focal neurological deficits

Provisional diagnosis: 
Gestational trophoblast induced multi organ disorder (MOD)


Investigations :- 








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