90/M ? TB MENINGITIS with ?PTB
case of 90 year old male came with complaints of c/o cough since 15 days SOB since 1 week Loss of appetite since 1 week Altered sensorium since 3 days HOPI: Patient was apparently asymptomatic 15 days ago then he developed cough insidious onset initially dry later productive and scanty.white to yellow not blood stained more during night. SOB since 1 week insidious onset gradually progessive ,progressed to grade 4, no orthopnea, No PND.No h/o seasonal/diurnal variation. Loss of appetite since 1 week. No h/o fever, vomiting,pain abdomen,loose stools,giddiness. Altered sensorium since 3 days. No relevant history in the past Personal history: Diet: mixed Appetite: normal Sleep: Adequate Bowel and bladder: increased micturition(since 1week), normal bowel movements No addictions and allergies GENERAL EXAMINATION: Vitals: BP 120/70 MMHG PR 92 BPM RR 28/MIN GRBS 93 MG/DL SpO2 100% ON 6L O2 No pallor,No icterus, cyanosis, clubbing, lymphadenopathy. SYSTEMIC EXAMINATION :: GIT INSPE