Case 04
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Date of examination:-21/09/2021
A 35yr old female presented to OPD with chief complaint of increase in bloodpressure since 3 days.
History of present illness:-
Patient was apparently asymptomatic 10 days ago then she developed fever with chills, cough and cold, which subsided after taking medication for 3 days. On monitoring her BP it was 180/100mm of Hg.she was advised to take tab TELMA 20mg PO/OD and was asked for regular BP monitoring at home.
On 18/9/21 patient came for follow up i/v/o high BP 210/140mm of Hg.
HISTORY OF PAST ILLNESS:-
No evidence of target organ damage.
No history of blurring of vision,Angina,reduced urineoutput.
History of gestational hypertension 10years back.
She had 2 pregnancies.
1st pregnancy-8th month- high BP-put on medication -normal delivery was done.
2nd pregnancy-8th month-high BP-put on medication Csection was done.
No history of Diabetes mellitus,TB,Epilepsy, thyroid.
Family history:-
Patient's father has HTN since 1 month.
Treatment history:-
No past treatment history for HTN.
PERSONAL HISTORY:-
Diet:-Mixed
Appetite:-Normal
Sleep:- Adequate sleep.
Bowel and bladder:- normal
Addictions:-No
Menarche:-12yrs
Normal menstrual cycle with normal flow
She is married and has2 children.
GENERAL EXAMINATION:-
Patient is conscious,coherent and cooperative well oriented to time place and person.
No bilateral pedal edema.
No H/O Cyanosis
No H/O Clubbing
No H/O Lymphadenopathy.
VITALS:-
TEMPERATURE:-afebrile
PULSERATE:-80bpm
BLOOD PRESSURE:-170/110mm of hg.
Respiratory rate:-20cycles per min.
SpO2:-98%
Investigations:-
HEMOGRAM:-
HEMOGLOBIN:-10.7gm/dl
Total count:-36000cells/cumm
Lymphocytes:-45%
PCV:-32.3VOL%
MCV:-68.3fl
ECG:-
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