45 YEAR OLD FEMALE WITH METABOLIC SYNDROME (DM, HTN, HF, CKD)
A 45 year old female daily wage labourer from kattangur was brought to ER on 23-04-2023 with chief complaints of SOB since morning Dating back to her childhood days her father died when she was 10 years of age (He had a tumour on the back of the neck ? Malignancy) She was a daily wage labourer who used to work for 7-8 hrs daily Wakes at 6am - goes to work at 9 am & works in the field for 7 to 8 hrs - returns home at 6-7 pm - goes to sleep at 10pm Married at the age of 20 - Husband auto driver 2 sons : elder son 24 yrs of age at present Younger son died soon after birth (cause unknown) Used to live happily with her family 6 yrs back one fine day she had giddiness for which she went to a local hospital where she was diagnosed with diabetes and was using OHA since then 1 year later she again felt dizzy & was diagnosed with HTN - on treatment since then Since last 1 year her life was not on track as she started to have pedal edema on & off + bilateral knee pains bcz of which sh