CASE-1-FAMILY HISTORY

Mr S aged 18years presented with oedema feet and generalised weakness of 2 weeks duration.       No H/O breathlessness

No Urinary complaints, No H/O fever, No H/O cough

O/E  Pulse-80/min,regular,BP-122/80, oedema-+, JVP-not raised, No cyanosis

CNS,CVS,Lungs and Abd-NAD

INVESTIGATIONS-Hb-13.6gm%,TLC-11200/cmm,DLC-P-55%,L-40%,E-3%,M-2%,ESR-24mm(WESTERG)

Urine analysis-NAD

BUN-12mg%, S Creatinine-1.0mg%

DIAGNOSIS-?

KEY QUESTION- ANYBODY IN YOUR FAMILY HAVING SAME PROBLEM

ANSWER-YES –MY YOUNGER BROTHER AND SISTER TO LESSER EXTENT

DIAGNOSIS-EPIDIMIC DROPSY

EXPLANATION- Mixing of Argimone Maxicana (Yellow Katari) seeds in Edible Mustard oil

TREATMENT- Change Edible oil