66 KVN SUDHEER
CHEIF COMPLAINTS: Decrease in urine output (since 10 days), pedal edema ( since 1 month ) , SOB ( Grade 2-3 ) , swelling of lips (since 3 days ) HOPI: •Patient was apparently asymptomatic 11 years back, then her parents noticed she was eating alot and had increased frequency of urination •she was diagnosed with TYPE 1 DM ( since then on insulin ) •Patient became drowsy and brought to hospital , diagnosed with DKA ?? and on MIXTRAD (18 units morning , 12 units night ) • 1 year ago she got married and 6 months ago she was brought to hospital as she c/o fever , not eating food for 5 days - diagnosed as HYPERTENSIVE (on TELMISARTAN 40 mg since then ) •8 months ago she was UPT positive and had an abortion 2 months ago as foetal cardiac activity was absent H/O PAST ILLNESS : K/O DM , HTN No H/O ALLERGY, ASTHMA, TB PRESENT HISTORY: Diet: mixed Appetite: normal Bowel and bladder movements :Norm...
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