Case 14

 

A 42 year-old lady with regular menses admitted because of her distressing edema and gaining weight, this edema started in both lower limbs that extended to involve both upper limbs and lastly affecting the face especially at the morning. So the condition became distressful for her so she sought medical advice and hospital admission in a trial to put an end to this situation.

 

Her examination showed no clinical findings of significance apart from overweight and the edema.

 

Investigations showed normal liver, renal and thyroid functions.

Urine analysis: no abnormalities detected.

Abdominal ultrasonography showed fatty liver and bilateral 2 simple renal cortical cysts.

Plain CXR and echocardiography showed no abnormalities.

 


Where is the problem?

 

 

 

 

Answer

 

Answer