3. 46 YEAR LADY PRESENTED TO ER WITH CHIEF COMPLAINT OF-
COUGH- 2 MONTH
GRADUAL, PRODUCTIVE, OCASSIONAL BLOOD STAINED 2 EPISODE
FEVERISH FEELINGS – 2 WEEKS
ON & OFF, NO CHILLS OR RIGOR OR SWEATING, MAX TEMP NOT
DOCUMENTED
SHORTNESS OF BREATH- 2 WEEKS
INSIDIOUS IN ONSET, PROGRESSIVE IN NATURE, EVEN AT REST
AGGRAVATED ON EXERTION PND- ORTHOPNEA-
LOSS OF APPETITE, EPIGASTRIC BURNING PAIN PRESENT
4. NO H/O PALPITATION, LOC, BURNING MICTURATION
NO H/O DM, HTN, PTB IN PAST
BOWEL & BLADDER – NORMAL
NO H/O SMOKING+ 3-5 STICKS PER DAY 35 YEARS
ALCOHOL-
O/E VITALS
GC- FAIR BP-100/70 mm hg SPO2- 86% IN ROOM AIR
PILCCOD- CLUBBING+ PULSE- 90 BPM REGULAR
TEMP-36.4
SYSTEMIC EXAMINATION
RESPIRATORY- DECREASED AIR ENTRY B/L LUNG (RT>LT) CONDUCTED SOUND + WHEEZE +
CVS- S1S2M0
PA- SOFT, MILD TENDERESS + EPIGASTRIUM
