Question

With the given chief complaints ( Difficulty of breathing despite taking furosemide, Bipedal edema, Easy fatiguability) can you please list around 5 disease this person might have or get? ☺️ please explain why too thank you!

CASE A 22- year-old, male, factory worker, diagnosed previously with Rheumatic Fever and is receiving Penicillin G 5 Million unit every month since age 17. Two years prior to consultation, she started to experience shortness of breath while climbing 1 flight of stairs or lifting heavy objects. No consultation was done. After a year, he was not able to work anymore because of difficulty of breathing at rest which was accompanied by orthopnea, paroxysmal nocturnal dyspnea, and pedal edema. She consulted a physician in a community health center and was prescribed with Furosemide 40 mg BID which she took for about a week. Symptoms abated but she did not go back for follow up. She took Furosemide 40 mg irregularly whenever he is symptomatic One month prior to consultation, she was unable to lie down on bed because of difficulty of breathing despite taking Furosemide. She still has bipedal edema and easy fatigability. She was brought to the emergency room by her mother 1. 2. What is the chief complaint? When was the onset of her manifestation? 3. What information in the history should be placed under Past Medical History

Answer 1

The patient is experiencing symptoms of breathing difficulty at rest, orthopnea, paroxysmal nocturnal dyspnea and pedal oedema.

The above seen symptoms take place in following five diseases:

1. Pulmonary edema :

2. Congestive heart failure

3. Chronic obstructive lung disease

4. Valvular heart disease

5. Pneumothorax

These conditions are characterised by increased ventlatory demand, decreased ventilatory capacity, increased airway resistance, reduced pulmonary compliance, reduced cardiac capacity and reduced tissue perfusion, pulmonary congestion. All these induces the above symptoms.