44 J. Srinath reddy Assignment (Gen Med)

CASE REPORT :: A 22 year old primigravida with gestational age of 10 weeks who is housewife who is a resident of munugodu was brought with  CHIEF COMPLAINTS : Muscle spasms involving both upper ,  lower limb and neck since yesterday evening.  PAST HISTORY :: Not a known case of DM, HTN, Tuberculosis , asthma. No history of blood transfusion and major surgeries. PERSONAL HISTORY : Appetite :normal Diet : mixed  Sleep : adequate  Bowel and bladder : regular  No addictions. No known drug and food allergies. FAMILY HISTORY : No history of epilepsy in the family. GENERAL EXAMINATION : Patient is conscious coherent cooperative and well oriented to time place and person. Consent of the patient and attenders was taken and examined in a well lighted room. Patient is moderately built and nourished.  Pallor -  Present   Icterus - absent  Cyanosis - absent  Clubbing - absent Lymphadenopathy - absent Edema - absent VITALS  : Temperature : afebrile  Pulse rate - 78 beats per minute , normal rhythm a