2. Personal History
Female patient M.A. 65 years old, House wife,
married with 14 offspring youngest is 35
years old, living in Elsaff ,with no special
habits of medical importance.
4. Present History
Condition started 5 days before admission by
pain and swelling of left leg of gradual onset
and progressive course, the pain was related
to calf, not radiating, bursting, increasing by
prolonged standing or walking and
decreasing by elevation of the affected leg.
5. The edema was persistent, increasing by
standing and decreasing by elevation of the
leg.
6. The condition is not associated with fever,
and not preceeded by trauma, surgical
operations or intake of any drugs.
7. The condition is not associated with chest
pain, hemoptysis or dyspnea.
8. The patient suffered from left hypochondrial
stitching pain two Months ago and sought
medical care, U/S and CT abdomen were and
the condition was diagnosed as multiple
splenic and renal infarctions.
9. No history of:
Arthralgias or arthritis
Photosenstivity
Oral ulcers
Excessive hairfall
10. No history of:
Rapid weight loss
Generalized body swellings
Severe headache, projectile vomiting or
blurring of vision.
11. Chest pain or hemoptysis.
Right hypochondrial pain or jaundice.
Persistent bony pains.
No history of previous strokes, TIAs, myocardial
infarctions, intestinal infarctions or limb ischemia.
12. No history suggestive of other systemic
diseases.
The patient is not known to be
hypertensive.
13. Past History
history of previous similar condition.
History of cataract operation done 20 years
ago.
14. Family History
No similar conditions in the family.
Positive consanguinity.( The parents are
cousins.)
19. No jaundice
No Pallor
No cyanosis
Carotid pulsations are of average volume and
equal bilaterally
No congested neck veins
No thyroid swelling
No cervical lymphadenopathy
20. Limb examination
Upper limbs:
No clubbing or cyanosis
No flapping tremors or palmar erythema
Lower limbs:
Left lower limb edema, redness and tenderness
Tense calf muscles of the left lower limb
Palpable dorsalis pedis and posterior tibial
21. Cardiac examination
Inspection:
Apex lies in the 5th space in the MCL
No visible pulsations
Palpation:
No palpable pulsations or thrills
22. Auscultation:
Normal S1 and S2
No additional heart sounds
No murmurs, rub or gallop
24. Percussion:
Normal lung resonance
Upper border of the liver in the 5th
MCL
Auscultation:
Normal vesicular breathing
No wheezes or crepitations
No bilateral basal crepitations
25. Abdominal examination
Inspection:
No pigmentation, scratching marks or
sinuses
Palpation:
Superficial palpation:
No rigidity, tenderness or rebound
tenderness.
No superficial masses.
26. Deep palpation:
No palpable organomegaly.
Percussion:
No detectable ascites
Auscultation:
Audible intestinal sounds