A 38 year old male came with complaints of Fever since 10 days

 A 38 yr old male patient ,resident of Suryapet, labourer by occupation came with

CHIEF COMPLAINTS: FEVER SINCE 10 DAYS

                                       SHORTNESS OF BREATH SINCE 1 WEEK

HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 10 days ago then he developed FEVER which was insidious in onset, intermittent,high grade, evening rise of temperature,no seasonal variation Associated with chills and rigor,body pains, burning micturition,fatigue headache NOT ASSOCIATED WITH nausea, vomiting,rashes

 COUGH was dry, intermittent,no diurnal variation,no seasonal variation not associated with chest pain and abdominal pain since 10days

COLD was insidious,no post nasal drip ,no difficulty in swallowing,no sore throat,no ear discharge since 10days

SHORTNESS OF BREATH was insidious in onset,grade 2 type(mmrc), progressive on exertion, relieved on taking rest not associated with paroxysomal nocturnal dyspnea, orthopnea,chest tightness since 1week

PAST HISTORY:Diabetic since 10 years on medication Metformin

No h/ o HTN,Asthma, epilepsy, thyroid disorders

Suspicion of TB

No past h/o surgeries

FAMILY HISTORY: Not significant

PERSONAL HISTORY:

DIET: MIXED 

SLEEP: DISTURBED

APPETITE: NORMAL

BOWEL AND BLADDER MOVEMENTS: REGULAR

ADDICTIONS: Alcoholic since 6years (90ml per day for alternate days)

               Chews pogaku since 10 years





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