Internal assessment answer sheet
56 year old female with abdominal distension
56 year old female, resident of narketpally Came with the chief complaints of abdominal distention since 20 days and swelling of lower limbs since 20 days History of presenting illness: Patient is apparently alright 20 days ago then she developed abdominal distension which is insidious in onset gradually progressive in nature,abdominal highness is present and aggravated after having food Patient had pedal edema till knee which is on and off and since 5 days pedal edema is continuous in nature upto knee and putting type Patient complaints of sob when abdominal bloating is present No c/o chest pain,pnd,orthopnea,palpitations No c/o Fever,cough,cold,vomitings,loose stools Patient is a k/c/o chronic liver disease K/c/o HTN since 13 years and on Tab.Telma 40mg po/od K/c/o DM-II since 3-4 years and on Tab.Metformin 500mg po/od K/c/o hypothyroid since 13 years and on Tab.Thyronorm 50mcg po/od Patient was admitted 11 months back with similar complaints and ascitic therap...
