Days of life in medicine

A 15 year old girl presented to the opd today with the complaints of Bilateral lower limb swelling since 15 days Reduced urine output since 10 days  Abdominal distension since 5 days Facial puffiness since 3 days Dyspnea at rest since 3 days Non productive cough since 3 days  Fever since 1 day She was born out of a 3rd degree consanguinous marriage. She has 2 healthy  siblings. Her father expired when she was 10 years old, he was a chronic alcoholic,  according to her mother who is unsure regarding the cause of his death, she attributes it to ? Respiratory Failure and Liver failure .  According to her mother, her father's elder sister had a kidney disease due to which she expired.  When she was 6 years old - she experienced cough along with dyspnea and low grade fever after which she was diagnosed to have pulmonary kochs for which she used ATT for 6 months.  Her mother works as a daily wage laborer. She finished her 8th grade, she as well is currently working as a daily wage labore

A 74 year old woman presented to the casualty yesterday In altered sensorium since morning 10am  She is an elderly woman, who studied till her 4th grade and has 6 children, 4 sons and 2 daughters. Her husband expired in 1982, according to her son the reason for his father's death  is not clearly known and it was suspected to be due to suicide because of family issues.   30 years back she underwent hysterectomy- secondary to ?fibroids  25 years back on routine check up she was diagnosed to be a Hypertension and diabetic.  She was started on Tab metxl 50mg along with Tab Galvusmet 50/500mg (vildagliptin along with metformin)  10 years back she consulted a local doctor for bilateral lower limb edema and was diagnosed with hypothyroid and was started on Tab thyronorm 100mcg which was later made to 50mcg. 6 years back she experienced chest pain along with dyspnea at rest after which she was diagnosed to have TVD and a CABG was performed. 6 years back - she complained of reduced vision i