cwu 2 (2)

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  • 8/17/2019 cwu 2 (2)

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    Name: Sofea Mardiyana bt Rody

    Gender: Female

    Date of birth: 18/6/2005 7y10m

    Rae: !a"a#

    Reli$ion: %&lam

    'ddre&&: ($ Da&ar !ar#) *ahad Dat#

    +ontat n#mber:016812185,

    Date of admi&&ion: 2-/./201,

    +hief omlaint

    eriorbital &ellin$ for 2 day&

    i&tory of re&ent illne&&

    atient re3io#&ly ered from nehroti &yndrome in 200-) a& dia$no&ed in

    o&ital *ahad Dat#

    atient noted to ha3e &ellin$ onned to eriorbital area for 2 day& ther area

    h a& fae) abdomen) and alf ere not in3ol3ed he &ellin$ remained

    on&tant thro#$ho#t the hole day 9rine di &ti a& done at home and&hoed rotein .; theri&e) it a& not a&&oiated ith fe3er) dyria)

    #r$eny) dar olo#red #rine) &ore throat and lo#dy #rine

    atient a& then bro#$ht to o&ital *ahad Dat# on the &eond day and

    di&o3ered to ha3e hyerten&ion ith readin$ of 1.-/88mm$ atient

    e

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    Mother #nderent re$#lar antenatal &annin$ and he # at o&ital

    *ahad Dat# %t a& an #ne3entf#l antenatal eriod atient a& born at f#ll

    term 3ia &ontaneo#& 3a$inal deli3ery at o&ital *ahad Dat#) mearin$

    ,.$ here a& no omliation d#rin$ the deli3eryNeonatal) mother noted birthmar o3er her loer left hee %t a& bron

    in olor ith ell demarated mar$in) Aat rfae theri&e no neonatal "a#ndie) no diB#lty in feedin$

    2 a&t medial hi&tory%n 200-) atient re&ented ith eriorbital &ellin$ for 1 ee hih

    in3ol3ed the fae the ,rd day oe3er) it did not radiate to the abdomen

    and alf %t or&en a& &oon a& atient oe # in the mornin$ and

    di&aeared at noon he eriorbital &ellin$ a& reeded by dden on&et of fe3er a&&oiated

    ith hill& and ri$or& here a& no lo&& of on&io#&ne&& and ttin$ he

    fe3er or&en at ni$ht and relie3ed by &yr# araetamol hi& ei&ode a&

    a&&oiated ith hi$h blood re&re a& ellatient treated a& nehroti &yndrome ith edni&olone in taerin$ do&e

    and a& &toed in 2011

    , +hildhood infetion

     ye of illne&& %F ye& then the a$eMea&le&Cama C+hien o

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    5 er&on &tayin$ in a ooden ho#&e ith an eletriity $enerator hey ha& to

    #rha&e fre&h ater from the ton Father ha& a food &tall and the &alary i&

    mea$er to ort the family e &moe& oa&ionally Mother i& a ho#&eife and

    tae& of atient hile &he i& &i