35 yr female with shortness of breath
A 35 year old female from marapaka, came to casualty with c/o shortness of breath since 20 days. History of present illness :- Pt was apparently asymptomatic, 2 months back then she developed breathlessness which is insiduous in onset since 20 days which aggrevated on performing physical work and was relieved on rest. Then she visited a local hospital in miryalaguda, on evaluation she had low hemoglobin count and 2 blood transfusions were done and was given medicines for a week. After using these medicines for one week she developed bilateral pedal edema (pitting type). So she visited a hospital in guntur. As there are no aarogyasri services in guntur she came back to nalgonda regarding the same issue. She had one more blood transfusion in Nalgonda hospital. Later she developed breathlessness and visited our hospital. She was on medication and her breathlessness subsided after 3 days of admission. She had 5 blood transfusions here and was on dialysis(10). Pedal edema did not subside