72Y Male with SOB and fever since 7 days
Patient came with C/o fever since 2 days C/o breathlessness since yesterday HOPI :- patient was apparently asymptomatic 2 days back then he developed fever which is insidious in onset ,gradually progressive, continuous low grade with chills and rigors relieved with medication. Breathlessness since yesterday insidious in onset gradually progressive present even at rest , NYHA GRADE IV ,not relieved with rest , associated with cough with expectoration which is white in colour. No h/o pedal edema , abdominal distension. H/o decreased urine output and burning micturition. Past history:- Not a k/c/o DM,HTN,BRONCHIAL ASTHMA , THYROID AND SEIZURE DISORDERS K/c/o TB 8 years back used medication. General examination:- pt is C/C/C. Pallor + , no cyanosis, icterus, clubbing, lymphadenopathy, edema. Temp - 100.8F Bp - 100/60mmhg Pr- 104 bpm Spo2 - 75 at RA at admission Addictions :- alcoholic and tobacco chewer since 40 years. Systemic examination:- CVS - S1S2 heared, No murmurs. RS - NVBS CNS
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