SALIENT FEATURES:

History:

5 days PTA
o Fever, 38.9oC; Relieved
with Paracetamol
3 days PTA
o Gradual development of
BIPEDAL EDEMA
o Gradual Abdominal
Enlargement
o Unknown Diagnosis
2 days PTA
o Increasing abdominal
girth
Maternal and birth history
o Seizures at 1st month of
life
o Unknown diagnosis
Developmental history
o Global developmental
delay
o Sits alone at age 6; walks
alone by 8 years of age
o Cannot do daily activities
alone
Family history
o Asthmasiblings (not
further specified)

HPNfather
Hansens Disease
maternal side
Socioeconomic
o Lives in congested place
o Water for drinking is from
deep well. Not boiled
prior to consumption
o
o

PE

Vitals
o BP100/70
o CR132 bpm
o RR26 cpm
o T37OC
Anthropometrics
o Wt23 kg (IBW of 26kg)
o Ht129cm
o BMI13.821
o AC67cm
Cervical Lymph adenopathy
Globular abdomen, (+)
hepatomegaly
(+) grade 4 bipedal edema
Neurological exam was
unremarkable