5
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M56_F10.jpg"}},{"insert":"\n\n"},{"insert":"You proceed to the physical examination. Her pulse is 88\/min, blood pressure is 146\/82 mmHg, respiratory rate is 12\/min, and saturation on room air is 99%.\n\nThe general examination shows marked bilateral pitting edema extending up to the knees. There are also scattered petechiae over both lower limbs.\n\n\u0022How long have you had these?\u0022 you ask, pointing at the petechia. \u0022Around two months or so,\u0022 Lucy replies.\n\n\u0022How has your blood pressure been?\u0022 you continue. \u0022Well, I\u0027m not sure how much it usually is, but during all routine checkups in the past, my doctors told me that it was quite normal\u0022 she responds.\n\nExamination of the heart, lungs, and abdomen shows no abnormalities, and you wrap up the examination.\n"}]}