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Hello all , I’m an intern and here is a case history of  one of our patients who got admitted . This is to complete my log book as a part of my internship duty. 11/04/2020 A 47 year old female presented to OPD with complaints of Difficulty in breathing since 10 days not aggravated or relieved with positional or diurnal variation palpitations since 10 days  which were short lasting Bilateral pitting type of edema of lower extremities  since 10 days No h/o pain or warmth at the local sites of edema , no color change No h/o facial puffiness or abdominal distention. She is a known hypertensive pt since 20 years . she is on medication tab . Telmisartan 20mg daily H/o filariasis in rt lower limb since 15 years and is using medication DEC 100 mg for 2 weeks in a year.  On general EXAMINATION  Pt was c/c Temperature:96.5 F Bp:130/90mm Hg Pulse:84 bpm Spo2: 99% CVS: S1 S2 heard RESPIRATORY SYSTEM: b/l normal vesicular breath sounds P/A: shape of the abdomen: obese