CASE SCENARIO 01,JULY,2022 Pt aged 45 years female came to opd with chief complaints of Bilateral pedal edema and SOB HOPI Pt presented with bilateral pedal edema (pitting type) and SOB since 2 weeks HISTORY OF PAST ILLNESS NO H/O -: DM HTN TB BRONCHIAL ASTHMA TREATMENT HISTORY .NO SIGNIFICANT HISTORY PERSONAL HISTORY .Married .mixed diet .normal bowel habit GENERAL EXAMINATION NO pallor .icterus .cynosis .lymphadenopathy .clubbing PHYSICAL EXAMINATION-: .temperature-:afibrile .pulse rate -:82/min .resp rate -:18/min .Bp -:90/70 SYSTEMIC EXAMINATION CVS-; S1,S2 HEARD NO MURMERS RESPIRATORY SYSTEM-: No dyspnea No wheeze Position of trachea -;central ABDOMEN-: Shape scaphoid Tenderness in right lumber region No palpable mass No palpable spleen and liver CNS-: