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Short case Prashanth Reddy Anugu Hall ticket: 1701006141 A 30 year old female patient, who is a housewife and resident of Nalgonda came to OPD with chief complaints of Facial puffiness for 4 days Pedal edema for 4 days Shortness of Breath for 2 days Abdominal pain for 2 days History of presenting illness : Patient was apparently asymptomatic 7 months back. Then she developed facial puffiness (which was insidious in onset, gradual in progression and was observed on waking up in the morning) and Bilateral leg swelling (which was of grade II) .For this the patient consulted the Physician, who after investigating put the patient on certain medications and both the complaints got better. Now four days back ,she again developed pedal edema of both legs and facial puffiness. Two days ago ,patient developed shortness of breath which was insidious in onset , gradually progressed to grade 4 and was not affected with change in position ,without any aggravating or relieving factors .
