CASE OF A 42 YEAR OLD FEMALE
May 16,2020 The following is a case of a 42 year old female with multiple events since birth. The problems in the order of priority are: Swelling Migraine associated with left sided muscle weakness Anhidrosis,Oliguria Fatigue Sleeplessness Reasoning: SWELLING could be due to water retention as she consumes a lot of salt or due to HEREDITARY ANGIOEDEMA SYNDROME since she swells up in the gut,face and fingers.HAS is triggered on emotional stress,physical activity,activity causing pressure changes in the body or any illnesses. MIGRAINE with aura maybe due to hormonal fluctuations(she mentions exacerbations before her menstruation and when she used OCPs),lack of sleep,smoke ,fasting and excess intake of salt also causes migraine. ANHIDROSIS,OLIGURIA is believed to be caused due to ooxidative stress in the kidney causing ion imbalance caused due to G6PD deficiency,bell's palsy,Horners syndrome. FATIGUE maybe due to AMPD1 deficiency which led to ATP depletion,oxidative stress